DR. PHILLIP CHARLES BENNETT PH.D.
NPI 1205050978
Psychologist in Philadelphia, PA

Active since April 12, 2007PECOS EnrolledAccepts Medicare Assignment
2401 PENNSYLVANIA AVE, SUITE 1C-51, PHILADELPHIA, PA 19130(215) 496-9091(215) 951-6273 Get Directions Write a Review

NPPES record last updated: June 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Phillip Charles Bennett Ph.d. NPPES

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

DR. PHILLIP CHARLES BENNETT PH.D. (NPI 1205050978) is an individual psychologist in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS008447L) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1205050978
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. PHILLIP CHARLES BENNETTCredential: PH.D.
Location Address2401 PENNSYLVANIA AVE, SUITE 1C-51Philadelphia, PA 19130-3010
Mailing Address2401 Pennsylvania Ave, Suite 1c-51Philadelphia, PA 19130-3010 · (215) 496-9091 · Fax (215) 951-6273
Fax(215) 951-6273
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateApril 12, 2007
Last NPPES UpdateJune 19, 2015
NPI 1205050978 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 PA · PS008447L
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.
2401 PENNSYLVANIA AVE, Philadelphia, PA 19130

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Phillip Charles Bennett Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406996701
PECOS Enrollment IDI20110621000364
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)
2401 PENNSYLVANIA AVE
PHILADELPHIA, PA 19130
Speech-Language Pathologist
2401 PENNSYLVANIA AVE, APT. 12B33
PHILADELPHIA, PA 19130
Psychologist (Counseling)
2401 PENNSYLVANIA AVE, STE 1A2
PHILADELPHIA, PA 19130
Pharmacy (Community/Retail Pharmacy)
2401 PENNSYLVANIA AVE
PHILADELPHIA, PA 19130
Psychologist
2401 PENNSYLVANIA AVE, SUITE 1A4
PHILADELPHIA, PA 19130
Marriage & Family Therapist
2401 PENNSYLVANIA AVE, 1A2
PHILADELPHIA, PA 19130
Pharmacist
2401 PENNSYLVANIA AVE
PHILADELPHIA, PA 19130
Pharmacist
2401 PENNSYLVANIA AVE, 1-D-7
PHILADELPHIA, PA 19130

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 Phillip Bennett's NPI number?

The NPI number for Phillip Bennett is 1205050978. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Phillip Bennett located?

Phillip Bennett practices at 2401 Pennsylvania Ave Suite 1c-51, Philadelphia, PA 19130. The listed phone number is (215) 496-9091.

What is Phillip Bennett's specialty?

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

Is Phillip Bennett enrolled in Medicare?

Yes. Phillip Bennett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Phillip Bennett was last updated on June 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.