Organization Active NPI

Daniel Benveniste

  • Clinical Psychologist
  • Bellevue, WA
National Provider Identifier
1063851244
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DANIEL BENVENISTE
Practice address
1450 114TH Ave SE Ste 105
Bellevue, WA 98004-6934
Phone
(425) 455-0882
NPI assigned
Jun 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Dr. Daniel Stephen Benveniste, PH.D.NPI 1003115429
Title
Clinical Psychologist
Phone
(425) 455-0882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1450 114TH Ave SE Ste 105
Bellevue, WA 98004-6934

Mailing address

1450 114TH Ave SE Ste 105
Bellevue, WA 98004-6934
Phone (425) 455-0882

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1063851244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 114TH AVE SE STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046934",
            "telephone_number": "425-455-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 114TH AVE SE STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046934",
            "telephone_number": "425-455-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL BENVENISTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "BENVENISTE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "425-455-0882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.