Gustavo R Benejam, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7387 Issued in FL

Practice address

7301 W Palmetto Park Rd Ste 204a
Boca Raton, FL 33433-3456

Phone

(561) 368-9940

Fax

(561) 368-3255

NPI assigned

Dec 12, 2006

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053472290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8185 TWIN LAKE DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961919",
            "telephone_number": "561-483-0220",
            "fax_number": "561-477-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W PALMETTO PARK RD STE 204A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333456",
            "telephone_number": "561-368-9940",
            "fax_number": "561-368-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEJAM",
        "first_name": "GUSTAVO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arielle Bendit, PH.D.
• Hal Scott Bendit, D.O.
• Benecare Family Healthcare
• Leticia Benedikt
• Beneficial Associates,Corp
• Mia Benevolenza, LCSW
• Shannon Bengston, MPT
• Andrew Benin, MD
• Samantha Benin, MD, MPH
• Beninmed PLLC

• Clinical Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Psychologist in Florida

• 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.