BENJAMIN DICKTER
NPI 1295288264
Psychologist in Scott Afb, IL

Active since July 26, 2016PECOS Enrolled
310 W LOSEY ST, SCOTT AFB, IL 62225(618) 256-9355 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2024, Jan 17, 2018, Sep 2, 2016 (3 updates tracked since 2016).

About Benjamin Dickter NPPES

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

BENJAMIN DICKTER (NPI 1295288264) is an individual psychologist in Scott Afb, Illinois, licensed in Wyoming (680) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Holloman Afb.

NPPES Registry Identity

NPI1295288264
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameBENJAMIN DICKTER
Location Address310 W LOSEY STScott Afb, IL 62225-5250
Mailing Address310 W Losey StScott Afb, IL 62225-5250 · (618) 256-9355
Sole ProprietorNo
Enumeration DateJuly 26, 2016
Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
NPI 1295288264 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 WY · 680
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.
310 W LOSEY ST, Scott Afb, IL 62225

Secondary Practice Location 1

Location 1280 1st St # 15Holloman AFB, NM 88330-8273 · Phone (484) 888-8492

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Benjamin Dickter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Dentist (Oral and Maxillofacial Surgery)
310 W LOSEY ST
SCOTT AFB, IL 62225
Physical Therapist
310 W LOSEY ST
SCOTT AFB, IL 62225
Pharmacist
310 W LOSEY ST
SCOTT AFB, IL 62225
Pharmacist
310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225
Family Medicine
310 W LOSEY ST
SCOTT AFB, IL 62225
Registered Nurse
310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225
Dentist (Prosthodontics)
310 W LOSEY ST
SCOTT AFB, IL 62225
Obstetrics & Gynecology
310 W LOSEY ST
SCOTT AFB, IL 62225

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 Dickter's NPI number?

The NPI number for Benjamin Dickter is 1295288264. It was assigned to this individual provider in the NPPES registry on July 26, 2016.

Where is Benjamin Dickter located?

Benjamin Dickter practices at 310 W Losey St, Scott Afb, IL 62225. The listed phone number is (618) 256-9355.

What is Benjamin Dickter's specialty?

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

Is Benjamin Dickter enrolled in Medicare?

Yes. Benjamin Dickter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Dickter was last updated on August 8, 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.