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Benjamin Dickter

Psychologist β€’ Scott Afb, IL

Active NPI 1295288264 Individual Practitioner Male Practitioner
Practice location in NPPES

310 W Losey St
Scott Afb, IL 622255250

Call 6182569355 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

310 W Losey St

Scott Afb, IL 622255250

Telephone 6182569355
Organization at the Same NPPES Address or Phone
375th Medgrp-Scott Facility NPI 1851373161

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Holloman Afb, NM. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Benjamin Dickter as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Scott Afb and Illinois

1 active clinicians are listed under Psychologist with a practice address in Scott Afb, IL (1,011 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-08
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES WY 680

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

280 1st St # 15

Holloman Afb, NM 883308273

Phone: 4848888492

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
NPI 1336424175

JANEAUXIER, Physician Assistant (Certified)

NPI 1265062178

Doctor of Medicine (M.D.)

Dr. Jill Coster , DO

Family Medicine

NPI 1205462942

Doctor of Osteopathic Medicine (D.O.)

NPI 1528120987

Doctor of Osteopathic Medicine (D.O.)

NPI 1912262007

Doctor of Pharmacy (Pharm.D.)

Dr. Ashley Gullixson , DO

Obstetrics & Gynecology

NPI 1992339584

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
πŸ“
Updated Practice Location August 08, 2024

Registered at 310 W LOSEY ST, SCOTT AFB, IL 622255250 (Tel: 6182569355)

πŸ“
Updated Business Mailing Address August 08, 2024

Registered at 310 W LOSEY ST, SCOTT AFB, IL 622255250 (Tel: 6182569355)

πŸ“
Updated Practice Location March 23, 2022

Registered at 280 1ST ST # 15, HOLLOMAN AFB, NM 883308273 (Tel: 4848888492)

πŸ“
Updated Business Mailing Address March 23, 2022

Registered at 280 1ST ST # 15, HOLLOMAN AFB, NM 883308273

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2022

Psychologist (license number reported to NPPES: WY 680)

βœ…
NPI Profile Active January 17, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address January 17, 2018

Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638

πŸ“
Updated Practice Location January 17, 2018

Registered at 1107 2ND AVE, APT 103, REDWOOD CITY, CA 94063 (Tel: 4848888492)

πŸ‘€
Provider Name / Credentials Updated January 17, 2018

Recorded as BENJAMIN DICKTER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2018

Student in an Organized Health Care Education/Training Program

βœ…
NPI Profile Active September 02, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 02, 2016

Registered at 1107 2ND AVE, APT 103, REDWOOD CITY, CA 94063 (Tel: 4848888492)

πŸ“
Business Mailing Address (Initial Record) September 02, 2016

Registered at 1107 2ND AVE, APT 103, REDWOOD CITY, CA 94063

πŸ‘€
Provider Name / Credentials (Initial Record) September 02, 2016

Recorded as BENJAMIN DICKTER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2016

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration July 26, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1295288264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2016
Last Update: August 08, 2024
Sole Proprietor: No

Mailing Address

310 W Losey St

Scott Afb, IL 622255250

Phone: 6182569355

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.