DR. NICHOLAS KEITH BENNETT PSYD
NPI 1508325903
Psychologist - Forensic in Los Angeles, CA
NPI Status: Active since March 15, 2019
Contact Information
1301 N BROADWAY STE 32424
LOS ANGELES, CA
ZIP 90012
Phone: (805) 225-4446
Fax: (805) 273-0206
- Individual
- Male
- Psychologist
- Forensic
- Accepts Insurance
- PECOS Enrolled
About NICHOLAS BENNETT
This page provides the complete NPI Profile along with additional information for Nicholas Bennett, a provider established in Los Angeles, California with a medical specialization in Psychologist, focusing in forensic . The healthcare provider is registered in the NPI registry with number 1508325903 assigned on March 2019. The practitioner's primary taxonomy code is 103TF0200X with license number PSY33288 (CA). The provider is registered as an individual and his NPI record was last updated April 2026.
- NPI
- 1508325903
- Provider Name
- DR. NICHOLAS KEITH BENNETT PSYD
- Other Name
- DR. NICHOLAS BENNETT GONZALEZ PSYD
- Other Name Type
- Former Name (1)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1301 N BROADWAY STE 32424 LOS ANGELES, CA 90012
- Location Phone
- (805) 225-4446
- Location Fax
- (805) 273-0206
- Mailing Address
- 1301 N BROADWAY STE 32424 LOS ANGELES, CA 90012
- Mailing Phone
- (805) 225-4446
- Mailing Fax
- (805) 273-0206
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-15-2019
- Last Update Date
- 04-14-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Forensic
- Taxonomy Code
- 103TF0200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PSY33288
- License State
- CA
- Taxonomy Description
- A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | PSY33288 (CA) |
| 2 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | 1336 (WV) |
| 3 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | PSY.0006612 (CO) |
| 4 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | PSY.0006612 (CO) |
| 5 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | PSY33288 (CA) |
| 6 | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | PSY33288 (CA) |
| 7 | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | (WV) |
| 8 | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | PSY33288 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Nicholas Bennett is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Psychiatric diagnostic evaluation
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
This service was performed 14 times for 14 patientsReviews for DR. NICHOLAS KEITH BENNETT PSYD
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1508325903, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
LOS ANGELES, CA 90012
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508325903, enumerated as an "individual" on March 15, 2019.
The provider is located at 1301 N BROADWAY STE 32424 LOS ANGELES, CA 90012 and the phone number is (805) 225-4446.
Psychologist with taxonomy code 103TF0200X and a focus in Forensic.
The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.
