ERICA BENFIELD PHD
NPI 1255169264
Clinical Neuropsychologist in Dayton, OH

Q: What is Erica Benfield's NPI number?

The NPI number for Erica Benfield is 1255169264. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Q: What is Erica Benfield's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: Is Erica Benfield enrolled in Medicare?

No. Erica Benfield has opted out of Medicare through April 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Erica Benfield was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 22, 2024Opted out of Medicare · through Apr 12, 2028

4100 W 3RD ST, DAYTON, OH 45428(937) 268-6511 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Erica Benfield Phd NPPES

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

ERICA BENFIELD PHD (NPI 1255169264) is an individual clinical neuropsychologist in Dayton, Ohio, licensed in Michigan (6301019389) and active in the NPI registry since July 2024. She has opted out of Medicare through April 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255169264

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameERICA BENFIELDCredential: PHD

Location Address4100 W 3RD STDayton, OH 45428-9000

Mailing Address25516 Taylor DrWarren, MI 48089-3584 · (248) 894-1115

Phone(937) 268-6511

Sole ProprietorNo

Enumeration DateJuly 22, 2024

NPPES CertifiedJuly 22, 2024

✔ NPI 1255169264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MI · 6301019389

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

4100 W 3RD ST, Dayton, OH 45428

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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

Erica Benfield Phd 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 April 12, 2026 through April 12, 2028.

Opt-Out Effective DateApril 12, 2026

Opt-Out In Effect ThroughApril 12, 2028Opt-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.

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.

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