DR. BERT BENNETT III PH.D.
NPI 1750323705
Psychologist in Winston-salem, NC

Active since June 12, 2006
3111 MAPLEWOOD AVE, SUITE 105, WINSTON-SALEM, NC 27103(336) 624-6412(336) 724-3839 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Bert Bennett Iii Ph.d. NPPES

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

DR. BERT BENNETT III PH.D. (NPI 1750323705) is an individual psychologist in Winston-salem, North Carolina, licensed in North Carolina (1361) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1750323705
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. BERT BENNETT IIICredential: PH.D.
Location Address3111 MAPLEWOOD AVE, SUITE 105Winston-salem, NC 27103-3906
Mailing Address1684 Chickasha DrPfafftown, NC 27040-8210 · (336) 638-1812 · Fax (336) 946-1075
Fax(336) 724-3839
Sole ProprietorYes
Enumeration DateJune 12, 2006
Last NPPES UpdateJune 7, 2021
NPPES CertifiedJune 7, 2021
NPI 1750323705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 1361
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.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 1361 (NC)
3111 MAPLEWOOD AVE, Winston-salem, NC 27103

Other Identifiers 1

Medicaid6000742NC

Accepted Insurance

Other Providers at the Same Location NPPES 9

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

Social Worker (Clinical)
3111 MAPLEWOOD AVE, SUITE 105
WINSTON SALEM, NC 27103
Optometrist
3111 MAPLEWOOD AVE, SUITE 103
WINSTON SALEM, NC 27103
Counselor (Mental Health)
3111 MAPLEWOOD AVE, SUITE 105
WINSTON-SALEM, NC 27103
Audiologist
3111 MAPLEWOOD AVE, SUITE 107
WINSTON SALEM, NC 27103
Optometrist
3111 MAPLEWOOD AVE, SUITE 103
WINSTON SALEM, NC 27103
Hearing Instrument Specialist
3111 MAPLEWOOD AVE, SUITE 107
WINSTON SALEM, NC 27103
Psychiatry & Neurology (Psychiatry)
3111 MAPLEWOOD AVE, SUITE 105
WINSTON SALEM, NC 27103
Psychiatry & Neurology (Psychiatry)
3111 MAPLEWOOD AVE, SUITE 105
WINSTON SALEM, NC 27103

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 Bert Bennett's NPI number?

The NPI number for Bert Bennett is 1750323705. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Bert Bennett located?

Bert Bennett practices at 3111 Maplewood Ave Suite 105, Winston-Salem, NC 27103. The listed phone number is (336) 624-6412.

What is Bert Bennett's specialty?

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

What insurance does Bert Bennett accept?

Health plans from Blue Cross and Blue Shield of NC list Bert 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 Bert Bennett was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.