BONNIE G BENSHOOF (PHD) – Psychologist, NPI 1154353506

BONNIE G BENSHOOF (PHD) is a healthcare provider. based in Niceville, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PY4285 (FL). The NPI Number for BONNIE G BENSHOOF (PHD) is 1154353506

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
BONNIE G BENSHOOF (PHD)
NPI
1154353506
Phone
(850) 729-0303
Address
1417 N PARTIN DR
Enumeration Date
7 July 2006
Last Update Date
5 August 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8507290303
Graduation Year
1987 (39 years ago)
PAC ID
8325136609
Group Practice PAC ID
3779675756
Professional Enrollment ID
I20090801000067
Address ID
FL325781426NI1417XNXXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

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Provider Addresses for BONNIE G BENSHOOF (PHD)

  • 1417, North Partin Drive, Niceville, Okaloosa County, Florida, 32578, United States

    STE 1

    NICEVILLE, FL 325781426

    Phone: (850) 729-0303

    Fax: (850) 729-0305

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090801000067IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour14923$0
90834Psychotherapy, 45 minutes10719$0
View full utilization report →

Insurance plans in this area (ZIP 32578)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779675756View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Clinical Social WorkerFL
Clinical Social WorkerIL
Clinical Social WorkerFL
Clinical PsychologistFL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

Can I verify BONNIE G BENSHOOF (PHD) with an NPI only?
You can start verification with NPI 1154353506 for BONNIE G BENSHOOF (PHD), then check state licensing separately.
Is BONNIE G BENSHOOF (PHD) still practicing?
BONNIE G BENSHOOF (PHD) is currently listed as active in the public NPI registry.
What is BONNIE G BENSHOOF (PHD)'s primary classification?
Psychologist is the headline specialty for BONNIE G BENSHOOF (PHD) here. Clinical services aligned with this taxonomy classification.
Where should I expect BONNIE G BENSHOOF (PHD) on a map?
Expect Niceville, Florida as a primary anchor for BONNIE G BENSHOOF (PHD) unless the record lists multiple sites.
Why does BONNIE G BENSHOOF (PHD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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