DR. STACEY L BENSON PSY D
NPI 1164457040
Psychologist in Fargo, ND

Active since July 11, 2006PECOS Enrolled
2624 9TH AVE S, FARGO, ND 58103(701) 298-4500(701) 298-4400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Stacey L Benson Psy D NPPES

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

DR. STACEY L BENSON PSY D (NPI 1164457040) is an individual psychologist in Fargo, North Dakota, licensed in North Dakota (ND 327) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164457040
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. STACEY L BENSONCredential: PSY D
Location Address2624 9TH AVE SFargo, ND 58103-2350
Mailing Address2624 9th Ave SFargo, ND 58103-2350 · (701) 298-4500 · Fax (701) 298-4400
Fax(701) 298-4400
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1164457040 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 ND · ND 327
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.

2624 9TH AVE S, Fargo, ND 58103

Other Identifiers 1

Other026706ND · Bcbs Of Nd Pin

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Stacey L Benson Psy D is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2624 9TH AVE S
FARGO, ND 58103
Psychiatry & Neurology (Psychiatry)
2624 9TH AVE S
FARGO, ND 58103
Counselor
2624 9TH AVE S
FARGO, ND 58103
Counselor
2624 9TH AVE S
FARGO, ND 58103
Counselor (Addiction (Substance Use Disorder))
2624 9TH AVE S
FARGO, ND 58103
Counselor (Addiction (Substance Use Disorder))
2624 9TH AVE S
FARGO, ND 58103
Counselor (Addiction (Substance Use Disorder))
2624 9TH AVE S
FARGO, ND 58103
Counselor (Addiction (Substance Use Disorder))
2624 9TH AVE S
FARGO, ND 58103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164457040, enumerated as an "individual" on July 11, 2006.

The provider is located at 2624 9TH AVE S FARGO, ND 58103 and the phone number is (701) 298-4500.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Sanford. Please consult your insurance carrier or call the provider to verify.