Dr Nicholas Keith Bennett, PSYD in Los Angeles, CA - Medicare Clinical Psychologist Provider

Dr Nicholas Keith Bennett, PSYD is a medicare enrolled "Psychologist - Forensic" provider in Los Angeles, California. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Redwood Psychology Center Inc and his current practice location is 1301 N Broadway Ste 32424, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (805) 225-4446.

Dr Nicholas Keith Bennett is licensed to practice in California (license number PSY33288) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508325903.

Contact Information

	Dr Nicholas Keith Bennett, PSYD
	1301 N Broadway Ste 32424, Los Angeles, CA 90012-1408
	(805) 225-4446
	(805) 273-0206

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicholas Keith Bennett
Gender	Male
Speciality	Clinical Psychologist
Experience	7 Years
Location	1301 N Broadway Ste 32424, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Nicholas Keith Bennett graduated from medical school in 2019

NPI Data:

NPI Number: 1508325903
Provider Enumeration Date: 03/15/2019
Last Update Date: 12/09/2025

Medicare PECOS Information:

PECOS PAC ID: 6507243094
Enrollment ID: I20220523002276

Medical Identifiers

Medical identifiers for Dr Nicholas Keith Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508325903	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY33288 (California)	Secondary
103TC1900X	Psychologist - Counseling	PSY33288 (California)	Secondary
103TC1900X	Psychologist - Counseling	(West Virginia)	Secondary
103TC0700X	Psychologist - Clinical	PSY.0006612 (Colorado)	Secondary
103T00000X	Psychologist	1336 (West Virginia)	Secondary
103T00000X	Psychologist	PSY.0006612 (Colorado)	Secondary
103TP2701X	Psychologist - Group Psychotherapy	PSY33288 (California)	Secondary
103TF0200X	Psychologist - Forensic	PSY33288 (California)	Primary
103T00000X	Psychologist	PSY33288 (California)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Redwood Psychology Center Inc	2062880487	7

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nicholas Keith Bennett allows following entities to bill medicare on his behalf.

Entity Name	Redwood Psychology Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629196290 PECOS PAC ID: 2062880487 Enrollment ID: O20221116001129

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicholas Keith Bennett is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Nicholas Keith Bennett, PSYD 1301 N Broadway Ste 32424, Los Angeles, CA 90012-1408 Ph: (805) 225-4446	Dr Nicholas Keith Bennett, PSYD 1301 N Broadway Ste 32424, Los Angeles, CA 90012-1408 Ph: (805) 225-4446

Reviews and Comments

Psychologist in Los Angeles, CA

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Dr. Dennis S. Klos, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1554 S Sepulveda Blvd, Suite 211, Los Angeles, CA 90025 Phone: 310-476-5277
Dr. Karen Siscoe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 450 Bauchet St, Los Angeles, CA 90012 Phone: 213-473-6530
Dr. Kara Taguchi, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 550 S Vermont Ave, Adult Systems Of Care, 12th Floor, Los Angeles, CA 90020 Phone: 213-305-2999 Fax: 213-381-5497
Dr. Kara Lynn Hart, PSY,D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11500 W Olympic Blvd, Suite 500, Los Angeles, CA 90064 Phone: 310-871-7825 Fax: 310-478-6698
Molly Cevasco, PH.D., BCBA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4650 W Sunset Blvd, Ms #53, Los Angeles, CA 90027 Phone: 323-361-3849
Dr. Adam Vogel, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 621 S Virgil Ave, #300, Los Angeles, CA 90005 Phone: 213-368-5400

Dr Nicholas Keith Bennett, PSYD - Medicare Psychologist in Los Angeles, CA