Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295288264 Individual Practitioner Male Practitioner

Benjamin Dickter

Psychologist • Scott Afb, IL

Professional Overview & Biography Verified Profile Summary

Benjamin Dickter is a registered healthcare professional specializing in Psychologist in Scott Afb, IL. Practice services are available at 310 W LOSEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

310 W Losey St

Scott Afb, IL 622255250

Telephone 6182569355
Associated Practice Facility / Clinic
🏢 375th Medgrp-Scott Facility NPI 1851373161

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Scott Afb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Scott Afb, IL (1075 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-08
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WY 680

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.

Secondary Practice Locations

280 1st St # 15

Holloman Afb, NM 883308273

Phone: 4848888492

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1023399342

Doctor of Pharmacy (Pharm.D.)

NPI 1023756707

Doctor of Medicine (M.D.)

NPI 1033450952

Registered Nurse

Christine Kmiecik

Social Worker - Clinical

NPI 1053684712
NPI 1073181822

Doctor of Osteopathic Medicine (D.O.)

Dr. Jamie Rand , MD

Surgery - Trauma Surgery

NPI 1073660106

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location August 08, 2024

Registered at 310 W LOSEY ST, SCOTT AFB, IL 622255250 (Tel: 6182569355)

📍
Updated Business Mailing Address August 08, 2024

Registered at 310 W LOSEY ST, SCOTT AFB, IL 622255250 (Tel: 6182569355)

📍
Updated Practice Location March 23, 2022

Registered at 280 1ST ST # 15, HOLLOMAN AFB, NM 883308273 (Tel: 4848888492)

📍
Updated Business Mailing Address March 23, 2022

Registered at 280 1ST ST # 15, HOLLOMAN AFB, NM 883308273

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2022

Psychologist (License #680 in WY)

NPI Profile Active January 17, 2018

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address January 17, 2018

Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638

📍
Updated Practice Location January 17, 2018

Registered at 1107 2ND AVE, APT 103, REDWOOD CITY, CA 94063 (Tel: 4848888492)

👤
Provider Name / Credentials Updated January 17, 2018

Recorded as BENJAMIN DICKTER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active September 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2016

Registered at 1107 2ND AVE, APT 103, REDWOOD CITY, CA 94063 (Tel: 4848888492)

📍
Updated Business Mailing Address September 02, 2016

Registered at 1107 2ND AVE, APT 103, REDWOOD CITY, CA 94063

👤
Provider Name / Credentials Updated September 02, 2016

Recorded as BENJAMIN DICKTER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 26, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1295288264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2016
Last Update: August 08, 2024
Sole Proprietor: No

Mailing Address

310 W Losey St

Scott Afb, IL 622255250

Phone: 6182569355

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.