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DR. NICHOLAS KEITH BENNETT PSYD
NPI 1508325903
Psychologist - Forensic in Los Angeles, CA

Active since March 15, 2019PECOS Enrolled
1301 N BROADWAY STE 32424, LOS ANGELES, CA 90012(805) 225-4446(805) 273-0206 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 14, 2026, Dec 9, 2025, May 14, 2025 and 12 more (15 updates tracked since 2019).

About Dr. Nicholas Keith Bennett Psyd NPPES

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

DR. NICHOLAS KEITH BENNETT PSYD (NPI 1508325903) is an individual forensic provider in Los Angeles, California, licensed in California (PSY33288) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508325903
Entity TypeIndividualMale
Primary Taxonomy103TF0200X
Provider Legal NameDR. NICHOLAS KEITH BENNETTCredential: PSYD
Location Address1301 N BROADWAY STE 32424Los Angeles, CA 90012-1408
Mailing Address1301 N Broadway Ste 32424Los Angeles, CA 90012-1408 · (805) 225-4446 · Fax (805) 273-0206
Phone(805) 225-4446
Fax(805) 273-0206
Sole ProprietorNo
Enumeration DateMarch 15, 2019
Last NPPES UpdateApril 14, 202615 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1508325903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers
Taxonomy Code103TF0200X
License✔ Licensed in CA · PSY33288
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Also ListedPsychologistTaxonomy 103T00000X · License PSY33288 (CA), 1336 (WV), PSY.0006612 (CO)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY.0006612 (CO), PSY33288 (CA)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PSY33288 (CA)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License PSY33288 (CA)
1301 N BROADWAY STE 32424, Los Angeles, CA 90012
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Other Names 1

Former Name (1)Dr. Nicholas Bennett Gonzalez Psyd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas Keith Bennett Psyd 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.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Redwood Psychology Center, Inc
404 mi
Group Psychotherapy
19375 HWY. 116
Monte Rio, CA 95462
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1629196290 (707) 865-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

WEEKEND THERAPY PSYCHOLOGICAL SERVICES, INC.
Psychologist (Clinical)
1301 N BROADWAY STE 32424
LOS ANGELES, CA 90012
Los Angeles County (805) 225-4446

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 Nicholas Bennett's NPI number?

The NPI number for Nicholas Bennett is 1508325903. It was assigned to this individual provider in the NPPES registry on March 15, 2019. The provider is also known as Dr. Nicholas Bennett Gonzalez Psyd.

Where is Nicholas Bennett located?

Nicholas Bennett practices at 1301 N Broadway Ste 32424, Los Angeles, CA 90012. The listed phone number is (805) 225-4446.

What is Nicholas Bennett's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

Is Nicholas Bennett enrolled in Medicare?

Yes. Nicholas Bennett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Bennett reassigns Medicare benefits to Redwood Psychology Center, Inc (Monte Rio, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Bennett accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Nicholas Bennett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Bennett was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.