MARK BENDER (PHD, LCP) – Clinical Neuropsychologist, NPI 1093758906

MARK BENDER (PHD, LCP) is a healthcare provider. based in Mechanicsville, Virginia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD, LCP. They hold a License No. 0810002954 (VA). The NPI Number for MARK BENDER (PHD, LCP) is 1093758906

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MARK BENDER (PHD, LCP)
NPI
1093758906
Phone
(804) 342-4300
Address
8254 ATLEE RD
Enumeration Date
14 June 2006
Last Update Date
20 March 2023

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8043424335
Graduation Year
2000 (26 years ago)
PAC ID
4789058447
Group Practice PAC ID
0345327599
Professional Enrollment ID
I20230320001304
Address ID
VA231162331ME8226XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in VA

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Provider Addresses for MARK BENDER (PHD, LCP)

  • Sheltering Arms Physical Rehabilitation Hospital, 8254, Atlee Road, Burnside Farms, Mechanicsville, Hanover County, Virginia, 23116, United States

    MECHANICSVILLE, VA 231161844

    Phone: (804) 342-4300

    Fax: (804) 342-4316

    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: 2023-03-20

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230320001304IClinical PsychologistVATBD

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
90791Psychiatric diagnostic evaluation8179$0
90832Psychotherapy, 30 minutes7546$0
96156Assessment of health behavior5351$0
96158Treatment of behavior impacting health, initial 30 minutes2520$0
View full utilization report →

Insurance plans in this area (ZIP 23116)

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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: 0345327599View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MARK BENDER (PHD, LCP)?
Save NPI 1093758906 if you need a stable reference for MARK BENDER (PHD, LCP).
Is MARK BENDER (PHD, LCP)'s NPI currently valid?
The extract we use shows MARK BENDER (PHD, LCP) as active.
What does MARK BENDER (PHD, LCP) treat or focus on?
Patients typically see MARK BENDER (PHD, LCP) under the specialty Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What location shows for MARK BENDER (PHD, LCP)?
We surface Mechanicsville, Virginia for MARK BENDER (PHD, LCP) based on available NPPES addresses.
Is MARK BENDER (PHD, LCP) a real provider?
This page reflects official NPPES data for NPI 1093758906. Always confirm identity and privileges with the practice and licensing boards.

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