Active NPI
Darryl Anthony Bennett, CSII
- Behavior Technician
- Farmington Hills, MI
National Provider Identifier
1992881924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 27777 Inkster Rd
Farmington Hills, MI 48334-5310 - Phone
- (248) 436-4400
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PT 24852 | CA | |
| Licensed Psychiatric Technician | 167G00000X | PT 24852 | CA | |
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
27777 Inkster Rd
Farmington Hills, MI 48334-5310
Mailing address
27777 Inkster Rd
Farmington Hills, MI 48334-5310
Phone (248) 436-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 24852 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1992881924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27777 INKSTER RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345310",
"telephone_number": "248-436-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27777 INKSTER RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345310",
"telephone_number": "248-436-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "DARRYL",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "CSII",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "PT 24852",
"primary": false
},
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT 24852",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.