MEDICARE: DR. TODD L. BENHAM PSYD, ABPP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	016076	NY

General Provider Information

NPI Number	:	1558350777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD L. BENHAM PSYD, ABPP

Provider Business Mailing Address
First Line	:	11050 MOUNT BELVEDERE BLVD
Second Line	:
City	:	FORT DRUM
State	:	NY
Zip	:	13602
Country	:	US
Telephone Number	:	315-772-4850
Fax Number	:

Provider Business Practice Location Address
First Line	:	11050 MOUNT BELVEDERE BLVD
Second Line	:
City	:	FORT DRUM
State	:	NY
Zip	:	13602-5438
Country	:	US
Telephone Number	:	315-772-6890
Fax Number	:	315-772-9243

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	01/22/2026

Similar Medicare Providers

1295277440 — HOLLY J TWIGG DPT
Practice Location Address:

11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY
13602-5438

Practice Phone: 315-772-8375
Practice Fax:

1760471932 — MR. RANDALL ALAN BISCHOFF RPA-C
Practice Location Address:

11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY
13602-5438

Practice Phone: 315-772-4025
Practice Fax: 315-772-4025

1760471015 — DR. DEAN C PEDERSEN M.D.
Practice Location Address:

11050 MOUNT BELVEDERE BLVD , USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY
13602-5438

Practice Phone: 315-772-4025
Practice Fax: 315-772-9498

1346230166 — MRS. EMMA ELIZABETH MILES LPC
Practice Location Address:

11050 MOUNT BELVEDERE BLVD , ATTN: MCID-BH-CCC
FORT DRUM, NY
13602-5438

Practice Phone: 315-772-6890
Practice Fax: 315-772-4097

1861482713 — MS. ANNE ASHLEY LPC; LCDC; CSAC
Practice Location Address:

11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY
13602-5438

Practice Phone: 315-772-4025
Practice Fax:

1649261553 — DR. ARTHUR DENNING DUFF MD
Practice Location Address:

11050 MOUNT BELVEDERE BLVD , ATTN: CREDENTIALS
FORT DRUM, NY
13602-5438

Practice Phone: 315-772-4025
Practice Fax:

Directions to “ DR. TODD L. BENHAM PSYD, ABPP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.