DR. ETHAN R BENORE PH.D.
NPI 1629002951
Psychologist - Clinical Child & Adolescent in Cleveland, OH

Q: What is Ethan Benore's NPI number?

The NPI number for Ethan Benore is 1629002951. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Ethan Benore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Benore was last updated on November 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 11, 2006PECOS Enrolled

2801 MLK JR DR, CLEVELAND, OH 44104(216) 448-6253 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Ethan R Benore Ph.d. NPPES

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

DR. ETHAN R BENORE PH.D. (NPI 1629002951) is an individual clinical child & adolescent provider in Cleveland, Ohio, licensed in Ohio (6154) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629002951

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. ETHAN R BENORECredential: PH.D.

Location Address2801 MLK JR DRCleveland, OH 44104-3815

Mailing Address2801 Mlk Jr DrCleveland, OH 44104-3815 · (216) 448-6253

Phone(216) 448-6253

Sole ProprietorNo

Enumeration DateJuly 11, 2006

Last NPPES UpdateNovember 12, 2021

NPPES CertifiedNovember 12, 2021

✔ NPI 1629002951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in OH · 6154

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologistTaxonomy 103T00000X · License 6154 (OH)

2801 MLK JR DR, Cleveland, OH 44104

Open in Google Maps ↗

Other Identifiers 1

Medicaid2606326OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ethan R Benore Ph.d. 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 3

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

ANDREA O'SULLIVAN OTR/L

Occupational Therapist

2801 MLK JR DR
CLEVELAND, OH 44104

Cuyahoga County (216) 448-6024

GEORGINA SAKYI PHD

Psychologist (Clinical Child & Adolescent)

2801 MLK JR DR
CLEVELAND, OH 44104

Cuyahoga County (361) 482-7450

JULIE BROWN BCBA

Behavior Analyst

2801 MLK JR DR
CLEVELAND, OH 44104

Cuyahoga County (512) 364-9707

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 Ethan Benore's NPI number?

The NPI number for Ethan Benore is 1629002951. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Ethan Benore located?

Ethan Benore practices at 2801 Mlk Jr Dr, Cleveland, OH 44104. The listed phone number is (216) 448-6253.

What is Ethan Benore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Ethan Benore enrolled in Medicare?

Yes. Ethan Benore is registered in the Medicare PECOS enrollment system.

What insurance does Ethan Benore accept?

Health plans from Oscar Insurance Corporation of Ohio list Ethan Benore 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 Ethan Benore was last updated on November 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.