THERESA BENSON (NPI# 1811305527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811305527 |
| Entity Type | Individual |
| Full Name | THERESA BENSON |
| Credential | PHD |
| Practice Address |
1910 Mcdonald Dr Champaign IL 61821-6055 |
| Practice Telephone | 3304323479 |
| Mailing Telephone | 3304323479 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071008398 | IL | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
071008398 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 W Springfield Ave Ste 211, Champaign, IL 618204880 | 2176216180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417231325 | Theresa Lynn Benson | Registered Nurse | 200 Saslon Park Dr, Liverpool, NY 13088-6430 | 2011-10-11 |
| Street Address |
1910 MCDONALD DR |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61821-6055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
| 1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
| 1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
| 1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
| 1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
| 1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| Find all providers in zip 61821 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710412119 | Kevin Christopher Hiner | Psychologist | 203 Avondale Ave, Champaign, IL 61820-6505 | 2017-04-24 |
| 1851709026 | Hannah Clark | Psychologist | 515 N Hickory St Apt 202, Champaign, IL 61820-3889 | 2014-07-31 |
| 1588965479 | Samira Grace Didos | Psychologist | 1503 Waterford Pl, Champaign, IL 61821-6971 | 2010-11-08 |
| 1952534026 | Brandi Elizabeth Burque | Psychologist | 3915 Rockdale Dr, Champaign, IL 61822-2051 | 2009-08-24 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| 1326244237 | Linda Miller, Lcsw | Psychologist | 3306 Lakeshore Dr, Champaign, IL 61822-5206 | 2007-06-26 |
| 1891905303 | Geneva Reynaga Abiko | Psychologist | Uiuc Counseling Center, 610 E. John Street, 206 Ssb, Champaign, IL 61820 | 2007-05-23 |
| 1518188036 | John T Jones | Psychologist | 206 N. Randolph Street, Suite 510, Champaign, IL 61820 | 2007-05-01 |
| 1295959740 | Gregory Allen Miller | Psychologist | 603 E Daniel St, Dept. of Psychology, U. Illinois, Champaign, IL 61820-6232 | 2007-04-13 |
| 1578689774 | Sharon Griffin | Psychologist | 100 N Chestnut St Ste 244, Champaign, IL 61820-4872 | 2007-03-21 |
| Find all providers in CHAMPAIGN | ||||
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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.