Benita K Chernyk, PHD
Individual provider Active NPI Clinical Psychologist · Independence, OH
NPI 1902810328 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1902810328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 4412 (OH)
- Practice address
- 5005 Rockside Rd Ste 600
Independence, OH 44131-6827 - Phone
- (216) 382-2929
- Fax
- (216) 751-8348
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13610 Bass Lake Rd
Chardon, OH 44024-8325
21887 Lorain Rd
Suite 226
Fairview Park, OH 44126-3330
3014 Manchester Rd
Shaker Heights, OH 44122-2524
6133 Rockside Rd
Suite 207
Independence, OH 44131-2242
Phone (216) 382-2929
PO Box
Suite 202653
Cleveland, OH 44120-8127
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170307002722 | OH | Practitioner - Clinical Psychologist | 6608762448 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 933731 | OH | MD | Addiction (Substance Use Disorder) Psychologist |
| 4412 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benita K Chernyk, PH.D., LLC | Clinical | Current |
Accepting new patients |
| Affiliates in Behavioral Health, LLC | Psychologist | Past |
Accepting new patients |
Locations
6133 Rockside Rd
Ste 207
Independence, OH 44131
Phone (216) 382-2929
5005 Rockside Rd
Ste 600
Independence, OH 44131
Phone (216) 382-2929
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 933731 | OH | |
| Psychologist | 103T00000X | 4412 | OH | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 933731 | OH | |
| Clinical Psychologist | 103TC0700X | 4412 | OH | Yes |
Addresses
Primary practice location
5005 Rockside Rd Ste 600
Independence, OH 44131-6827
Mailing address
PO Box 202653
Cleveland, OH 44120-8127
Phone (216) 382-2929
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0825727 | Medicaid | OH |
Other providers in Independence, OH
- Brady Joseph Cernelich
- Natalie Christine Chamberlain
- Yakov Charfas
- Cheryl Ann Chase
- Jeffrey L. Chernin
- Sandra Chlad
- Baoanh Chu
- Michael Allan Cicerchi
- City of Independence
- Colleen Elizabeth Clayton
All providers in Independence, OH · Clinical Psychologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.