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Deactivated NPI 1154416196 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Bennett , PhD

Psychologist - Clinical • Plainview, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Bennett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 04, 2006
NPI Deactivation Date August 21, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Bennett, PhD was a registered Psychologist - Clinical practicing in Plainview, NY. Throughout an active medical career spanning 12 years, Dr. Bennett provided care at the practice location at 1171 OLD COUNTY RD until profile deactivation on 2018-08-21.

Practice Location & Contact Primary Location

Practice Address

1171 Old County Rd

Plainview, NY 11803

Telephone 5168222440
Fax 6314211492

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Plainview, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.8 Yrs
State Avg: 31.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Plainview, NY (6869 Statewide)

Telehealth Adoption Rate
10.5% 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

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License NY 007916

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 21, 2018

Record deactivated on August 21, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1171 OLD COUNTY RD, PLAINVIEW, NY 11803 (Tel: 5168222440)

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Updated Business Mailing Address July 08, 2007

Registered at 32 LUYSTER STREET, HUNTINGTON STATION, NY 11746 (Tel: 6314211492)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL BENNETT, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #007916 in NY)

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Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154416196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: July 08, 2007
Deactivation Date: August 21, 2018

Mailing Address

32 Luyster Street

Huntington Station, NY 11746

Phone: 6314211492

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