DR. SUSAN ELIZABETH BENNETT (PHD) – Clinical Psychologist, NPI 1477529287

DR. SUSAN ELIZABETH BENNETT (PHD) is a healthcare provider. based in Schaumburg, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 071005508 (IL). The NPI Number for DR. SUSAN ELIZABETH BENNETT (PHD) is 1477529287

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN ELIZABETH BENNETT (PHD)
NPI
1477529287
Phone
(847) 413-9700
Address
919 N PLUM GROVE RD
Enumeration Date
23 February 2006
Last Update Date
8 November 2012

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8474139700
Graduation Year
1996 (30 years ago)
PAC ID
5597702852
Group Practice PAC ID
8921058140
Professional Enrollment ID
I20050408000657
Address ID
IL601734760SC919XXRDXX502
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. SUSAN ELIZABETH BENNETT (PHD)

  • 919, North Plum Grove Road, Schaumburg, Schaumburg Township, Cook County, Illinois, 60173, United States

    SUITE C

    SCHAUMBURG, IL 601735144

    Phone: (847) 413-9700

    Fax: (847) 413-1701

    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: 2005-04-08

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
I20050408000657IClinical PsychologistILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60173)

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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: 8921058140View full group profile
NameSpecialtyState
Clinical PsychologistIL
Clinical PsychologistIL
Clinical Social WorkerIL
Clinical PsychologistIL
Clinical PsychologistIL
Clinical PsychologistIL
Clinical PsychologistIL
Clinical PsychologistIL
Clinical Social WorkerFL
Clinical PsychologistIL

Reviews

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Frequently asked questions

What is the registry number for DR. SUSAN ELIZABETH BENNETT (PHD)?
The registry entry for DR. SUSAN ELIZABETH BENNETT (PHD) shows NPI 1477529287.
Should I treat DR. SUSAN ELIZABETH BENNETT (PHD) as an active provider?
Patients and plans typically see DR. SUSAN ELIZABETH BENNETT (PHD) as active in the national extract.
What does the directory say DR. SUSAN ELIZABETH BENNETT (PHD) does?
Insurance directories may phrase it differently, but here DR. SUSAN ELIZABETH BENNETT (PHD) maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. SUSAN ELIZABETH BENNETT (PHD)?
DR. SUSAN ELIZABETH BENNETT (PHD) shows a connection to Schaumburg, Illinois in registry-derived data.
Who maintains DR. SUSAN ELIZABETH BENNETT (PHD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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