Individual provider

Nicholas Bennett, PSYD

Psychologist Clinical Psychologist Counseling Psychologist Medicare enrolled

Nicholas Bennett, PSYD is a Forensic Psychologist in Los Angeles, CA, registered under NPI 1508325903. This provider registers 5 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1301 N BROADWAY STE 32424, Los Angeles, CA 90012. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1301 N BROADWAY STE 32424, Los Angeles, CA 90012 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PSY33288 CA Psychologist
PSY.0006612 CO Clinical Psychologist
PSY33288 CA Counseling Psychologist
1336 WV Psychologist
PSY33288 CA Clinical Psychologist
PSY33288 CA Group Psychotherapy Psychologist
PSY33288 CA Forensic Psychologist primary
PSY.0006612 CO Psychologist

Licences are recorded in 3 states: CA, CO, WV. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Psychologist
PAC ID
6507243094
Enrollment ID
I20220523002276

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

Licensed in 3 states

This provider holds licences in 3 states: California, Colorado and West Virginia. The practice address on file is in Los Angeles, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California practice address
Licence
PSY33288
Specialty
Psychologist
Verify with the CA board →
CO Colorado
Licence
PSY.0006612
Specialty
Clinical Psychologist
Verify with the CO board →
WV West Virginia
Licence
1336
Specialty
Psychologist
Verify with the WV board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Forensic covers

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. NUCC Health Care Provider Taxonomy, code 103TF0200X
Behavioral Health & Social Service Providers Psychologist Forensic

All registered taxonomy codes

This provider registers 9 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103T00000X Psychologist PSY33288 CA
103TC0700X Clinical Psychologist Clinical PSY.0006612 CO
103TC1900X Counseling Psychologist Counseling PSY33288 CA
103T00000X Psychologist 1336 WV
103TC1900X Counseling Psychologist Counseling WV
103TC0700X Clinical Psychologist Clinical PSY33288 CA
103TP2701X Group Psychotherapy Psychologist Group Psychotherapy PSY33288 CA
103TF0200X Forensic Psychologist Forensic PSY33288 CA primary
103T00000X Psychologist PSY.0006612 CO

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.

NPI1508325903 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 15, 2019
Last updatedApr 14, 2026
StatusActive
Sole proprietorNo
GenderMale
CredentialPSYD
Practice address 1301 N BROADWAY STE 32424
Los Angeles, CA 90012
(805) 225-4446
Fax (805) 273-0206
Other names Nicholas Gonzalez Former Legal Business Name
This record was updated on Apr 14, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1508325903 passes the NPI check digit test The final digit 3 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 5 0 8 3 2 5 9 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 0 8 6 2 1 9 0

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

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 1508325903?
NPI 1508325903 is the National Provider Identifier assigned to Nicholas Bennett, PSYD in Los Angeles, CA. 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 Forensic cover?
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
How do I contact Nicholas Bennett, PSYD?
The phone number on file with NPPES is (805) 225-4446, last updated Apr 14, 2026. 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 Nicholas Bennett, PSYD 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 1508325903 a valid number?
Yes. 1508325903 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.