DR. BENJAMIN WILLIAMS KEARNEY (PH.D.) – Psychologist, NPI 1437205911

DR. BENJAMIN WILLIAMS KEARNEY (PH.D.) is a healthcare provider. based in Westlake, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 5802 (OH). The NPI Number for DR. BENJAMIN WILLIAMS KEARNEY (PH.D.) is 1437205911

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENJAMIN WILLIAMS KEARNEY (PH.D.)
NPI
1437205911
Phone
(440) 779-7323
Address
30400 DETROIT RD
Enumeration Date
26 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4404551150
Graduation Year
1999 (27 years ago)
PAC ID
8527198654
Group Practice PAC ID
4082744115
Professional Enrollment ID
I20241008001316
Address ID
OH441455608WE24500RDXX401
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

1,139 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for DR. BENJAMIN WILLIAMS KEARNEY (PH.D.)

  • 30400, Detroit Road, Westlake, Cuyahoga County, Ohio, 44145, United States

    SUITE 306

    WESTLAKE, OH 441451872

    Phone: (440) 779-7323

    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: 2024-10-08

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
I20241008001316IClinical PsychologistOHTBD

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 44145)

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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: 4082744115View full group profile
NameSpecialtyState
Mental Health CounselorOH

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Frequently asked questions

What is the standard ID for DR. BENJAMIN WILLIAMS KEARNEY (PH.D.) in the U.S.?
In the U.S., DR. BENJAMIN WILLIAMS KEARNEY (PH.D.) is identified by NPI 1437205911.
Should I treat DR. BENJAMIN WILLIAMS KEARNEY (PH.D.) as an active provider?
Patients and plans typically see DR. BENJAMIN WILLIAMS KEARNEY (PH.D.) as active in the national extract.
What does the directory say DR. BENJAMIN WILLIAMS KEARNEY (PH.D.) does?
Insurance directories may phrase it differently, but here DR. BENJAMIN WILLIAMS KEARNEY (PH.D.) maps to Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. BENJAMIN WILLIAMS KEARNEY (PH.D.)?
DR. BENJAMIN WILLIAMS KEARNEY (PH.D.) shows a connection to Westlake, Ohio in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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