Martha Anne Bennett, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

021421 Issued in NY

Practice address

236 5TH Ave Ste 404
New York, NY 10001-7606

Phone

(908) 248-2606

NPI assigned

Oct 20, 2015

Last updated

Aug 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1932571775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 5TH AVE STE 404",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017606",
            "telephone_number": "908-248-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 5TH AVE STE 404",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017606",
            "telephone_number": "908-248-2606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Westchester Ave",
            "address_2": "Pediatrics, 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104625072",
            "country_code": "US",
            "telephone_number": "718-409-8942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MARTHA",
        "middle_name": "ANNE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice O. Bennett, PHD.
• Kayla Bennett, LMSW
• Kori Bennett, PSY.D.
• Leslie Kaufmann Bennett, MD
• Lily Grace Bennett, LMSW
• Melissa Faye Bennett, PA-C
• Michael Bennett, L.AC.
• Michelle Lee Bennett, M.D.
• Nataliya Bennett
• Norva J Bennett, L.AC.

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.