DR. BRET BENTZ (NPI# 1174552426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174552426 |
| Entity Type | Individual |
| Full Name | DR. BRET BENTZ |
| Credential | PHD |
| Practice Address |
6225 Paper Shell Way Fort Worth TX 76179-9286 |
| Practice Telephone | 8179881236 |
| Practice Fax Number | 8177501237 |
| Mailing Telephone | 8179881236 |
| Mailing Fax Number | 8177501237 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2013-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
31579 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | 0015MJ | 01 |
| TX | 159445901 | 05 |
| Street Address |
6225 PAPER SHELL WAY |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76179-9286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356522288 | Senior Neuropsychological Associates, PC | Psychologist | 6225 Paper Shell Way, Fort Worth, TX 76179-9286 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347215 | Katherine M Wright | Behavior Technician | 5804 Boat Club Road, Fort Worth, TX 76179 | 2019-10-09 |
| 1982245775 | Makaylin Rene Mayes | Behavior Technician | 5804 Boat Club Rd, Fort Worth, TX 76179 | 2019-10-02 |
| 1881246049 | Renkuntla Pllc | Dentist | 240 S Saginaw Blvd, Saginaw, TX 76179 | 2019-07-09 |
| 1376062026 | Michele Ann Taylor | Massage Therapist | 6352 Stone Lake Drive, Fort Worth, TX 76179 | 2017-09-13 |
| 1649796921 | Amanda Williams | Music Therapist | 6212 Rocky Point Trail, Lake Worth, TX 76179 | 2017-08-17 |
| 1912437922 | Dentists of Eagle Mountain, PC | Dentist | 4624 West Bailey Boswell Road, Suite 200, Fort Worth, TX 76179 | 2017-06-13 |
| 1982059283 | 11th Hour Counseling | Social Worker | 949 Sherry Ln, Saginaw, TX 76179 | 2016-04-25 |
| 1114307212 | Stephanie Lee Beavers | Chiropractor | 524 Buckstone Dr., Saginaw, TX 76179 | 2015-06-03 |
| 1760885297 | Kali Nagabalaji | Pharmacy | 200 W J Boaz Rd, Ste 100, Saginaw, TX 76179 | 2014-09-29 |
| 1750794541 | Julie Norwood | Dentist | 1453 N. Saginaw Blvd., Suite 150, Saginaw, TX 76179 | 2014-06-09 |
| Find all providers in zip 76179 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356522288 | Senior Neuropsychological Associates, PC | Psychologist | 6225 Paper Shell Way, Fort Worth, TX 76179-9286 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639722135 | Jennifer Catherine Acker Ramirez | Psychologist | 39 N Brokenfern Dr, Spring, TX 77380-3987 | 2019-07-23 |
| 1982268595 | Lyn George Mcdonald | Psychologist | 107 Crescent St, San Antonio, TX 78209-5219 | 2019-04-29 |
| 1326501594 | Angela Paola Martinez | Psychologist | 2825 Wilcrest Dr Ste 128, Houston, TX 77042-3391 | 2019-04-12 |
| 1558851238 | Idh Medical Practice, P.a. | Psychologist | 6363 N State Highway 161 Ste 310, Irving, TX 75038-2262 | 2018-05-17 |
| 1265947261 | Brendon Gael Roatch-cardenas | Psychologist | 2175 Winrock Blvd, Houston, TX 77057-4000 | 2017-12-13 |
| 1376058115 | Brain Changers, LLC | Psychologist | 6222 De Zavala Rd Ste 203, San Antonio, TX 78249-2291 | 2017-12-01 |
| 1609304518 | Dawn Elizabeth Chandler | Psychologist | 1652 Prescott Cir, Flower Mound, TX 75028-7305 | 2017-05-23 |
| 1770010290 | Julie Chambers | Psychologist | 3550 Parkwood Blvd Ste 304, Frisco, TX 75034-1905 | 2017-05-15 |
| 1346657855 | Crawfprd Psychology, Pllc | Psychologist | 3101 Joe Ramsey Blvd E Ste 103a, Greenville, TX 75401-7762 | 2014-07-16 |
| 1184035412 | Evelyn Jagpat-o'halloran | Psychologist | 12028 Pepperidge Dr, Austin, TX 78739-1948 | 2014-05-08 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76179 |
Please comment or provide details below to improve the information on DR. BRET BENTZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.