Ethan Benore, PH.D.
NPI 1629002951 · Clinical Child & Adolescent Psychologist · Cleveland, OH
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Benore, PH.D. is a Clinical Child & Adolescent Psychologist provider in Cleveland, OH (NPI 1629002951).
Provider details
- NPI number
- 1629002951
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 6154 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2021-11-12
- Certified
- 2021-11-12
Frequently asked questions
- What is Ethan Benore's NPI number?
- Ethan Benore's National Provider Identifier (NPI) is 1629002951, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Benore's specialty?
- Ethan Benore is listed in the NPPES registry with a primary specialty of Clinical Child & Adolescent Psychologist (Behavioral Health & Social Service Providers).
- Where is Ethan Benore located?
- Ethan Benore's practice location on file with NPPES is 2801 Mlk Jr Dr, Cleveland, OH 44104-3815.
- What is Ethan Benore's phone number?
- The practice phone number listed in the NPPES registry for Ethan Benore is (216) 448-6253.
- Does Ethan Benore accept Medicare?
- Ethan Benore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Benore's NPI active?
- Yes — Ethan Benore's NPI (1629002951) is active in the NPPES registry as of the last update on 2021-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.