BENJAMIN HILL TUDOR - NPI 1417439621 - Marriage & Family Therapist in Chicago, IL

Q: What is Benjamin Tudor's NPI number?

The NPI number for Benjamin Tudor is 1417439621. It was assigned to this individual provider in the NPPES registry on September 4, 2018.

Q: What is Benjamin Tudor's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Tudor was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Benjamin Hill Tudor NPPES

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

BENJAMIN HILL TUDOR (NPI 1417439621) is an individual marriage & family therapist in Chicago, Illinois and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417439621

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameBENJAMIN HILL TUDOR

Location Address77 W WASHINGTON ST STE 1500Chicago, IL 60602-3219

Mailing Address77 W Washington St Ste 1500Chicago, IL 60602-3219 · (773) 980-9679

Phone(773) 980-9679

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 4, 2018

Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration

NPPES CertifiedJuly 15, 2024

✔ NPI 1417439621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

77 W WASHINGTON ST STE 1500, Chicago, IL 60602

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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 Hill Tudor 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 ID3870039886

PECOS Enrollment IDI20240823001522, I20241001001674

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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUNITHA RACHEL CHANDY PSYD

Psychologist (Clinical)