Dr. Douglas Platt Benson II, PSY.D
Psychologist, Clinical in Provo, UT. Individual provider (NPI-1).
NPI number1306080544
StatusActive
Last updated in NPPESMay 16, 2019
Details
- NPI
- 1306080544
- Entity type
- Individual (NPI-1)
- Name
- Dr. Douglas Platt Benson II
- Credential
- PSY.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2009
- Last updated
- May 16, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6866553-2501 | UT | Yes |
| 103TB0200X | Psychologist, Cognitive & Behavioral | 6866553-2501 | UT | |
| 103TP2701X | Psychologist, Group Psychotherapy | 6866553-2501 | UT |
Practice location
1300 E Center StProvo, UT 84606-3554
Phone 801-344-4400
Mailing address
Po Box 270Provo, UT 84603-0270
Phone 801-344-4400
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