AMY THATCHER-BENZA (PH.D) – Clinical Psychologist, NPI 1215989033
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,139 CLINICAL PSYCHOLOGIST in OH
Provider Addresses for AMY THATCHER-BENZA (PH.D)
1000 E Washington St
Medina, OH 442562170
Phone: (330) 725-1000
Type: Location
4018 MEDINA RD STE D
MEDINA, OH 442569675
Phone: (330) 722-4166
Fax: (330) 725-5792
Type: Mailing
221, West Liberty Street, Medina Public Square Historic District, Medina, Medina County, Ohio, 44256, United States
MEDINA, OH 442562217
Phone: (330) 722-4166
Fax: (330) 725-5792
Type: Mailing
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.
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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: 2015-05-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150520001736 | I | Clinical Psychologist | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 35 | 17 | $0 |
| 90785 | Psychiatric services complicated by communication factor | 33 | 17 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 32 | 32 | $0 |
Insurance plans in this area (ZIP 44256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OH | |
| Clinical Social Worker | OH |
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