DR. JOHN CHARLES BENITEZ PH.D.
NPI 1225135841
Psychologist - Clinical in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

Active since September 17, 2006Opted out of Medicare · through Jun 18, 2027

405 N WABASH AVE, 1814, CHICAGO, IL 60611(312) 245-5269(312) 527-0849 Get Directions Write a Review

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

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About Dr. John Charles Benitez Ph.d. NPPES

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

DR. JOHN CHARLES BENITEZ PH.D. (NPI 1225135841) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (71-3304) and active in the NPI registry since September 2006. He has opted out of Medicare through June 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225135841

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JOHN CHARLES BENITEZCredential: PH.D.

Location Address405 N WABASH AVE, 1814Chicago, IL 60611-3591

Mailing Address405 N Wabash Ave, 1814Chicago, IL 60611-3591 · (312) 245-5269 · Fax (312) 527-0849

Phone(312) 245-5269

Fax(312) 527-0849

Sole ProprietorYes

Enumeration DateSeptember 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1225135841 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 IL · 71-3304

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.

405 N WABASH AVE, Chicago, IL 60611

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Charles Benitez Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 18, 2015 through June 18, 2027.

Opt-Out Effective DateJune 18, 2015

Opt-Out In Effect ThroughJune 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.