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WILLIAM S BENNETT PHD PC
NPI 1194911883
Psychologist - Clinical in Wilmington, NC

Active since September 17, 2007
2311 CANTERWOOD DR, WILMINGTON, NC 28401(910) 343-1474(910) 763-1482 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About William S Bennett Phd Pc NPPES

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

WILLIAM S BENNETT PHD PC (NPI 1194911883) is a healthcare organization registered as a clinical in Wilmington, North Carolina and active in the NPI registry since September 2007. The organization lists William Scott Bennett, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1194911883
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameWILLIAM S BENNETT PHD PC
Location Address2311 CANTERWOOD DRWilmington, NC 28401
Mailing Address2311 Canterwood DrWilmington, NC 28401 · (910) 343-1474
Phone(910) 343-1474
Fax(910) 763-1482
Organization SubpartNo
Authorized OfficialWilliam Scott BennettClinical Psychologist · (910) 343-1474
Enumeration DateSeptember 17, 2007
Last NPPES UpdateFebruary 12, 2008
✔ NPI 1194911883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NC · 2177
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2311 CANTERWOOD DR, Wilmington, NC 28401
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Other Identifiers 7

Other61-100549NC · United Behavioral Health
Medicaid6000525NC
Other1051812NC · Cigna/mcc
Other0328UNC · Blue Cross Blue Shield Nc
Medicare PIN2816302BNC
Medicare PIN2820583
Other75117NC · Medcost

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William S Bennett Phd Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to William S Bennett Phd PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

William Bennett, PH.D.
Clinical Psychologist
NPI 1750311858
2311 CANTERWOOD DR
Wilmington, NC 28401
(910) 343-1474
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 William S Bennett Phd PC's NPI number?

The NPI number for William S Bennett Phd PC is 1194911883. It was assigned to this organization in the NPPES registry on September 17, 2007.

Where is William S Bennett Phd PC located?

William S Bennett Phd PC is located at 2311 Canterwood Dr, Wilmington, NC 28401. The listed phone number is (910) 343-1474.

What is William S Bennett Phd PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is William S Bennett Phd PC enrolled in Medicare?

Yes. William S Bennett Phd PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through William S Bennett Phd PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to William S Bennett Phd PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for William S Bennett Phd PC was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.