Enza Maria Dibenedetto, M.S.M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001504 Issued in NY

Practice address

104-70 Queens Boulevard Suite 200
Bleuler Psychotherapy Center
Forest Hills, NY 10375

Phone

(718) 275-6010

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/bleulerpc/r4/

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.

• Bleuler Psychotherapy Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Forest Hills, NY
  • NPI 1801949706
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033277496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 209TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611462",
            "telephone_number": "718-352-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104-70 QUEENS BOULEVARD SUITE 200",
            "address_2": "BLEULER PSYCHOTHERAPY CENTER",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "10375",
            "telephone_number": "718-275-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBENEDETTO",
        "first_name": "ENZA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "M.S.M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yesenia M Diaz-Lopez, LMSW
• Angel Diaz
• Cintia Diaz, M.D.
• Jailyn Diaz
• Nadia Macarena Diaz, PH.D.
• Frank Richard Dibennardo I, PH.D
• Lady Johanna Dicesa, SLP, TSLD
• Alevtina Dick
• Kalsang Dickey, NP
• Kimberly Didier

• Mental Health Counselor in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.