DR. NICHOLAS KEITH BENNETT PSYD NPI 1508325903

NPI Information

  • NPI: 1508325903
  • Provider Name: DR. NICHOLAS KEITH BENNETT, PSYD
  • Classification: Psychologist - 103TF0200X
  • Specialization: Forensic
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1301 N BROADWAY STE 32424
    LOS ANGELES, CA
    ZIP 90012
  • Phone: (805) 225-4446

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NPI Details

DR. Nicholas Keith Bennett, PSYD is a forensic psychologist in Los Angeles, CA with 7 years of experience. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. DR. Nicholas Keith Bennett, PSYD NPI is 1508325903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1301 N BROADWAY STE 32424
LOS ANGELES, CA
ZIP 90012-408
Phone: (805) 225-4446
Fax: (805) 273-0206

The NPI 1508325903 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 3/15/2019 and was last updated on 12/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalPSY33288CALIFORNIANo
2103TC1900XPsychologistCounselingPSY33288CALIFORNIANo
3103TC1900XPsychologistCounselingWEST VIRGINIANo
4103TC0700XPsychologistClinicalPSY.0006612COLORADONo
5103T00000XPsychologist1336WEST VIRGINIANo
6103T00000XPsychologistPSY.0006612COLORADONo
7103TP2701XPsychologistGroup PsychotherapyPSY33288CALIFORNIANo
8103TF0200XPsychologistForensicPSY33288CALIFORNIAYes
9103T00000XPsychologistPSY33288CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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