BENJAMIN WEGNER
NPI 1275190761
Psychologist in Culver City, CA

Active since May 21, 2019PECOS EnrolledAccepts Medicare Assignment
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230(310) 390-6612 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2020, Sep 17, 2020, May 21, 2019 (3 updates tracked since 2019).

About Benjamin Wegner NPPES

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

BENJAMIN WEGNER (NPI 1275190761) is an individual psychologist in Culver City, California, licensed in California (33965) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1275190761
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameBENJAMIN WEGNER
Location Address4760 SEPULVEDA BLVDCulver City, CA 90230-4820
Mailing Address4760 Sepulveda BlvdCulver City, CA 90230-4820 · (310) 390-6612 · Fax (310) 398-5690
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 21, 2019
Last NPPES UpdateJune 28, 20233 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
NPI 1275190761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 33965
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.
Also ListedRehabilitation CounselorTaxonomy 225C00000X
4760 SEPULVEDA BLVD, Culver City, CA 90230

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

Benjamin Wegner 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 ID9537694583
PECOS Enrollment IDI20241127001470
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.

Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Marriage & Family Therapist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Social Worker
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Student in an Organized Health Care Education/Training Program
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Marriage & Family Therapist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Day Training/Habilitation Specialist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230

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 Benjamin Wegner's NPI number?

The NPI number for Benjamin Wegner is 1275190761. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Benjamin Wegner located?

Benjamin Wegner practices at 4760 Sepulveda Blvd, Culver City, CA 90230. The listed phone number is (310) 390-6612.

What is Benjamin Wegner's specialty?

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

Is Benjamin Wegner enrolled in Medicare?

Yes. Benjamin Wegner 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 Benjamin Wegner was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.