Individual provider Active NPI

Eva Benmeleh, PHD

  • Clinical Psychologist
  • Hallandale Beach, FL
National Provider Identifier
1083958896
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8656 Issued in FL
Practice address
221 W Hallandale Beach Blvd Ste 202
Hallandale Beach, FL 33009-5441
Phone
(786) 383-4942
NPI assigned
Nov 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8656 FL Primary

Addresses

Primary practice location

221 W Hallandale Beach Blvd Ste 202
Hallandale Beach, FL 33009-5441

Mailing address

221 W Hallandale Beach Blvd Ste 202
Hallandale Beach, FL 33009-5441
Phone (786) 383-4942

Other practice location 1

1150 E Hallandale Beach Blvd
Suite C
Hallandale Beach, FL 33009-4489
Phone (786) 383-4942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8656FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1083958896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W HALLANDALE BEACH BLVD STE 202",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095441",
            "telephone_number": "786-383-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W HALLANDALE BEACH BLVD STE 202",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095441",
            "telephone_number": "786-383-4942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 E Hallandale Beach Blvd",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Hallandale Beach",
            "state": "FL",
            "postal_code": "330094489",
            "country_code": "US",
            "telephone_number": "786-383-4942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENMELEH",
        "first_name": "EVA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "8656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.