DR. BRAD BENNETT (NPI# 1558454124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558454124 |
| Entity Type | Individual |
| Full Name | DR. BRAD BENNETT |
| Practice Address |
7325 State Route 5 Clinton NY 13323-3435 |
| Practice Telephone | 3158591973 |
| Mailing Telephone | 3158591973 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
8120 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154706182 | Brad Bennett | Dentist | 554 Keily St, Bumed Centralized Cred & Privileging, Jacksonville, FL 32212 | 2015-07-20 |
| 1184875957 | Brad K Bennett | Case Manager/Care Coordinator | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2008-10-09 |
| Street Address |
7325 STATE ROUTE 5 |
| City | CLINTON |
| State | NY |
| Zip Code | 13323-3435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578516860 | Carol Buchholz-blackburn | Social Worker | 7325 State Route 5, Clinton, NY 13323-3435 | 2006-05-18 |
| 1265088611 | Hidetoshi Hama | Psychologist | 7325 State Route 5, Clinton, NY 13323-3435 | 2019-08-12 |
| 1578840625 | Christine Anne Porter | Social Worker | 7325 State Route 5, Clinton Therapy and Testing Center, Clinton, NY 13323-3435 | 2011-11-03 |
| 1679887038 | Tara E. Mckee | Psychologist | 7325 State Route 5, Clinton, NY 13323-3435 | 2010-07-27 |
| 1245565282 | Suzanne Renee Chabot | Marriage & Family Therapist | 7325 State Route 5, Clinton, NY 13323-3435 | 2009-10-08 |
| 1770717308 | Kristina Elizabeth Berg | Psychologist | 7325 State Route 5, Clinton, NY 13323-3435 | 2009-05-11 |
| 1174793939 | Heather Lynne Lester | Psychologist | 7325 State Route 5, Clinton, NY 13323-3435 | 2008-03-08 |
| 1215009105 | Nancy Rayne | Registered Nurse | 7325 State Route 5, Clinton, NY 13323 | 2006-11-15 |
| 1124105580 | Valorie A Hochberg | Social Worker | 7325 State Route 5, Clinton, NY 13323-3435 | 2006-11-01 |
| 1801989140 | Kim Russell Gearhart | Counselor | 7325 State Route 5, Clinton, NY 13323-3435 | 2006-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629603881 | Dynamic Chiropractic and Physical Therapy Pllc | Clinic/Center | 7883 Seneca Turnpike, Clinton, Clinton, NY 13323 | 2020-03-09 |
| 1558736413 | John Alexander Nasrinpay | Physical Therapist | 7883 Seneca Turnpike, Clinton, NY 13323 | 2015-12-03 |
| 1518216043 | Lesley Vella | Speech-Language Pathologist | 2 East Park Row, Clinton, NY 13323 | 2012-08-30 |
| 1649329087 | Marsette A Vona Dmd PC | Dentist | 5 South Park Row, Clinton, NY 13323 | 2007-01-08 |
| 1366557084 | Donna R Kapes | Social Worker | 2 Williams St, Clinton, NY 13323 | 2006-08-21 |
| 1386697464 | Kristin M Dempsey | Nurse Practitioner | 110 Utica Road, Clinton, NY 13323 | 2006-05-18 |
| 1700417201 | Cornwell Ave Physical Therapy PC | Clinic/Center | 7883 Seneca Turnpike, Clinton, NY 13323 | 2020-02-03 |
| 1225575004 | Sheena Matthews | Social Worker | 19 Robinson Rd, Clinton, NY 13323 | 2017-01-31 |
| 1861875551 | Stephanie Romanow | Physical Therapist | 19 Robinson Rd, Clinton, NY 13323 | 2015-06-30 |
| 1770705782 | Thomas Richard Carone | Chiropractor | 1 Kirkland Ave, Suite 101, Clinton, NY 13323 | 2007-05-02 |
| Find all providers in zip 13323 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| 1184149676 | Achieving Mental Victory, LLC | Psychologist | 8110 Holly Ln, Clinton, MD 20735-3195 | 2017-08-07 |
| 1821462557 | Insideout Psychological Services, LLC | Psychologist | 2811 Pumpkin St, Clinton, MD 20735-1063 | 2015-11-18 |
| 1912378266 | Safe Harbor Christian Counseling | Psychologist | 8040 Woodyard Rd, Clinton, MD 20735-1963 | 2015-10-13 |
| 1194129494 | Total You Integrative Medicine Center | Psychologist | 12103 Windbrook Dr, Clinton, MD 20735-1149 | 2014-10-15 |
| 1497091102 | Malinda Renee Kidd | Psychologist | 9412 Fox Run Dr, Clinton, MD 20735-3049 | 2012-12-27 |
| 1023176633 | Psychological Consultants Pa | Psychologist | 135 Cambridge Cove, Clinton, MS 39056-9655 | 2006-12-05 |
| 1295823912 | David R. Mullen | Psychologist | 606 Northeast Blvd, Clinton, NC 28328-2023 | 2006-10-10 |
| 1386746865 | Maria Anna Channell | Psychologist | 221 Greeley St, Clinton, MA 01510-1029 | 2006-09-03 |
| 1487130019 | Total You Integrative Medicine Center | Psychologist | 9135 Piscataway Rd Ste 410, Clinton, MD 20735-2555 | 2018-07-17 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.