Bryan Benitez, PHD
NPI 1114892080ActiveIndividual· Psychologist· Wallingford, CT
Psychologist (PHD) in Wallingford, Connecticut, licensed in CT, with an NPI issued in October 2025.
Overview
| NPI | 1114892080 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Oct 9, 2025 |
| Last updated in NPPES | Oct 9, 2025 |
| Certified by provider | Oct 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 004591 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Psychologist providers in Wallingford
- 1508061466
- 1033257803
- 1699875609
- 1386695799