| Jikesha Renee Benton-johnson, PSYD | |
|
3625 N Elm St Ste 130, Greensboro, NC 27455-2604 | |
| (704) 360-3637 | |
| Not Available |
| Full Name | Jikesha Renee Benton-johnson |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 3625 N Elm St Ste 130, Greensboro, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184883886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY003410 (Georgia) | Secondary |
| 103T00000X | Psychologist | 6600 (North Carolina) | Primary |
| Entity Name | Benevolent Mental Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528742152 PECOS PAC ID: 7517329147 Enrollment ID: O20230815000730 |
| Mailing Address | Practice Location Address |
|---|---|
| Jikesha Renee Benton-johnson, PSYD 3000 Colonial Center Parkway, Suite 100n, Roswell, GA 30076-9328 Ph: (404) 317-1034 | Jikesha Renee Benton-johnson, PSYD 3625 N Elm St Ste 130, Greensboro, NC 27455-2604 Ph: (704) 360-3637 |
Dr. Jennifer Lee Sommer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5509b W Friendly Ave, Suite 106, Greensboro, NC 27410 Phone: 336-272-0855 Fax: 336-272-9885 | |
Dr. Laura H. Rhoads, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 355 Eberhart Bldg, Uncg Campus, Greensboro, NC 27402 Phone: 336-334-5662 Fax: 336-334-5754 | |
Dr. Garrick Keilan Rickard, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1407 Northfield St, Greensboro, NC 27403 Phone: 425-442-7735 | |
Alicia Whitaker, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1234 S Eugene St Apt 2b, Greensboro, NC 27406 Phone: 336-451-3398 | |
Dr. Marion Gamble Mccollum, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 912 N. Elm St., Greensboro, NC 27401 Phone: 336-274-4669 Fax: 336-274-4749 | |
Mr. Robert J Mccurry, MED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 S Elm St, Suite 325, Greensboro, NC 27401 Phone: 336-274-2100 Fax: 336-274-6366 | |
Mr. Pieter Cameron Vaniderstine, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 122 N Elm St, Suite 400, Greensboro, NC 27401 Phone: 336-334-5601 Fax: 336-334-5657 |