SHOSHANA BENNETT PH.D.
NPI 1154664076
Psychologist in Bodega Bay, CA

Active since March 28, 2013
21413 HERON DR, BODEGA BAY, CA 94923(707) 875-9961 Get Directions Write a Review

NPPES record last updated: March 28, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shoshana Bennett Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOSHANA BENNETT PH.D. (NPI 1154664076) is an individual psychologist in Bodega Bay, California, licensed in California (19433) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1154664076
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSHOSHANA BENNETTCredential: PH.D.
Location Address21413 HERON DRBodega Bay, CA 94923-0128
Mailing AddressPo Box 128Bodega Bay, CA 94923-0128 · (707) 875-9961
Sole ProprietorYes
Enumeration DateMarch 28, 2013
NPI 1154664076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 19433
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
21413 HERON DR, Bodega Bay, CA 94923

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shoshana Bennett's NPI number?

The NPI number for Shoshana Bennett is 1154664076. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Where is Shoshana Bennett located?

Shoshana Bennett practices at 21413 Heron Dr, Bodega Bay, CA 94923. The listed phone number is (707) 875-9961.

What is Shoshana Bennett's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Shoshana Bennett was last updated on March 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.