Nicholas Keith Bennett, PSYD
NPI 1508325903ActiveIndividual· Psychologist, Forensic· Los Angeles, CA
Psychologist, Forensic (PSYD) in Los Angeles, California, licensed in CA, CO and WV, with an NPI issued in March 2019. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1508325903 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Mar 15, 2019 |
| Last updated in NPPES | Apr 14, 2026 |
| Certified by provider | Apr 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Forensic Primary | 103TF0200X | PSY33288 | CA |
| Psychologist | 103T00000X | PSY33288 | CA |
| Psychologist, Clinical | 103TC0700X | PSY.0006612 | CO |
| Psychologist, Counseling | 103TC1900X | PSY33288 | CA |
| Psychologist | 103T00000X | 1336 | WV |
| Psychologist, Counseling | 103TC1900X | — | WV |
| Psychologist, Clinical | 103TC0700X | PSY33288 | CA |
| Psychologist, Group Psychotherapy | 103TP2701X | PSY33288 | CA |
| Psychologist | 103T00000X | PSY.0006612 | CO |
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) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
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