Juanika L Benson

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6361003550 Issued in MI

Practice address

2566 E Grand Blvd Apt 307
Detroit, MI 48211-2026

Phone

(313) 247-4413

NPI assigned

Mar 3, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindful Concepts, LLC

  • Clinical Psychologist
  • Southfield, MI
  • NPI 1891303012

  Psychoanalyst

  NPD Authorized official
• Open Door Family Center, LLC

  • Preferred Provider Organization
  • Eastpointe, MI
  • NPI 1689924565
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1013258904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 E GRAND BLVD APT 307",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482112026",
            "telephone_number": "313-247-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 E GRAND BLVD APT 307",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482112026",
            "telephone_number": "313-247-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "JUANIKA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-03",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "MI",
            "license": "6361003550",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361003550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Bennis, DPT
• Brooke Alison Benowitz
• Cynthia Marie Benson
• David M Benson
• Jamiesha Benson
• Randall Reed Benson, MD
• Rosalyn Benson
• Shaleah Benson, RN
• Benstar Pharmacy PLLC
• Ansariah Bent-Musafir

• Clinical Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.