Individual provider

Benny Willis, PH.D.

Clinical Child & Adolescent Psychologist Cognitive & Behavioral Psychologist Psychologist Medicare enrolled

Benny Willis, PH.D. is a Clinical Child & Adolescent Psychologist in Arlington, MA, registered under NPI 1407905995. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 691 MASSACHUSSETS AVENUE SUITE 10, Arlington, MA 02479. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

691 MASSACHUSSETS AVENUE SUITE 10, Arlington, MA 02479 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
6244 MA Clinical Child & Adolescent Psychologist primary
6244 MA Cognitive & Behavioral Psychologist
6244 MA Psychologist

This provider holds licence 6244 issued in MA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Psychologist
PAC ID
7012984438

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical Child & Adolescent covers

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. NUCC Health Care Provider Taxonomy, code 103TC2200X
Behavioral Health & Social Service Providers Psychologist Clinical Child & Adolescent

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TC2200X Clinical Child & Adolescent Psychologist Clinical Child & Adolescent 6244 MA primary
103TB0200X Cognitive & Behavioral Psychologist Cognitive & Behavioral 6244 MA
103T00000X Psychologist 6244 MA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1407905995 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 10, 2007
Last updatedNov 25, 2015
StatusActive
Sole proprietorYes
CredentialPH.D.
Practice address 691 MASSACHUSSETS AVENUE
SUITE 10
Arlington, MA 02479
(617) 242-4228
Other identifiers WO4947 · BLUE CROSS BLUE SHIELD (MA)
This record was last updated on Nov 25, 2015, roughly 10 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1407905995 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 0 7 9 0 5 9 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 0 7 9 0 1 9 9

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1407905995?
NPI 1407905995 is the National Provider Identifier assigned to Benny Willis, PH.D. in Arlington, MA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical Child & Adolescent cover?
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and…
How do I contact Benny Willis, PH.D.?
The phone number on file with NPPES is (617) 242-4228, last updated Nov 25, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Benny Willis, PH.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1407905995 a valid number?
Yes. 1407905995 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.