DR. CHERYL LYNN BENNETT (NPI# 1184802241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184802241 |
| Entity Type | Individual |
| Full Name | DR. CHERYL LYNN BENNETT |
| Credential | PHD |
| Practice Address |
10926 David Taylor Dr Ste 120 Charlotte NC 28262-1042 |
| Mailing Address |
9866 Walkers Glen Dr Nw Concord NC 28027-3546 |
| Practice Telephone | 8552077179 |
| Practice Fax Number | 8552077179 |
| Mailing Telephone | 8552077179 |
| Mailing Fax Number | 8552077179 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2019-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 3881 | NC | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3881 | NC | Behavioral Health & Social Service Providers |
| N | 251S00000X | Community/Behavioral Health | 3881 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6107588 | 05 | |
| NC | MEDCOST | 56162 | 01 |
| NC | AETNA | 9440507 | 01 |
| NC | BLUE CROSS BLUE SHIELD | 1543R | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245303213 | Cheryl L Bennett | Optometrist | 28 Virginia Ave, Petersburg, WV 26847 | 2006-11-16 |
| 1477054310 | Cheryl Ruth Bennett | Counselor | 620 Wing St Ste 3, Elgin, IL 60123-2800 | 2018-02-26 |
| 1376784116 | Cheryl Bennett | Licensed Practical Nurse | 830 South St, Apt. 3d, Peekskill, NY 10566-7413 | 2009-03-06 |
| 1619128337 | Cheryl L. Bennett | Occupational Therapist | 25 Liberty St, Batavia, NY 14020-3246 | 2008-10-01 |
| 1629248646 | Cheryl A Bennett | Occupational Therapist | 11381 Prosperity Farms Rd, Palm Beach Gardens, FL 33410-3403 | 2008-03-05 |
| 1932307238 | Cheryl Bennett | Counselor | 10305 Dawsons Creek Blvd, Suite C, Fort Wayne, IN 46825-1914 | 2007-07-07 |
| 1609087154 | Cheryl A Bennett | Physical Therapy Assistant | 303 Quadrangle Drive, Bolingbrook, IL 60440 | 2007-05-25 |
| Street Address |
10926 DAVID TAYLOR DR STE 120 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932713401 | Clark Clinical Consulting LLC | Chiropractor | 10926 David Taylor Dr Ste 120, Charlotte, NC 28262-0039 | 2020-09-02 |
| 1881239093 | Southeast Radiology Associates Pllc | Clinic/Center | 10926 David Taylor Dr Ste 120, Charlotte, NC 28262-1042 | 2019-11-12 |
| 1871901843 | Cheryl L Bennett Phd Pllc | Psychologist | 10926 David Taylor Dr Ste 120, Charlotte, NC 28262-1042 | 2014-07-23 |
| 1053615989 | Deirdre V Clark | Chiropractor | 10926 David Taylor Dr Ste 120, Charlotte, NC 28262-1042 | 2011-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123531 | Robert B Stroker | Psychologist | 10617 Kettering Dr Ste 213, Charlotte, NC 28226-4900 | 2020-01-09 |
| 1902460744 | Holly Hauser | Psychologist | 1905 J N Pease Pl Ste 104, Charlotte, NC 28262-4509 | 2019-04-26 |
| 1972944759 | Intrusted Care Solutions Inc | Psychologist | 2340 N Graham St Ste B, Charlotte, NC 28206-2506 | 2013-07-09 |
| 1790029791 | David E Mermelstein | Psychologist | 6201 Fairview Road, Ste 200, Charlotte, NC 28210-3297 | 2012-11-15 |
| 1598014011 | Jesse Selkin | Psychologist | 8832 Blakeney Professional Dr Ste 105, Charlotte, NC 28277-6717 | 2012-08-30 |
| 1629324975 | Kevin L Gyoerkoe | Psychologist | 8832 Blakeney Professional Dr, Suite 105, Charlotte, NC 28277-6809 | 2012-07-24 |
| 1235406109 | Redlak Recovery Center, Pllc | Psychologist | 10801 Johnston Rd Ste 217, Charlotte, NC 28226-7856 | 2011-11-21 |
| 1801172051 | Chad Wesley Kraska | Psychologist | 7400 Carmel Executive Park Dr Ste 135, Charlotte, NC 28226-8400 | 2011-11-01 |
| 1679805717 | Rose Marie Leday | Psychologist | 3440 Toringdon Way, Suite #205, Charlotte, NC 28277-3190 | 2010-01-29 |
| 1023241965 | Briana Melissa Webber-lind | Psychologist | 12815 Longstraw Rd, Charlotte, NC 28227-3686 | 2009-08-26 |
| Find all providers in CHARLOTTE | ||||
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| 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.