Active NPI
J Benach PSYD LLC
- Adult Mental Health Clinic/Center
- Tucson, AZ
National Provider Identifier
1093215642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 4465
- Legal business name
- J BENACH PSYD LLC
- Doing business as
- J Benach PsyD LLC
- Practice address
- 4625 E Broadway Blvd Ste 108
Tucson, AZ 85711-3575 - Phone
- (520) 999-0852
- NPI assigned
- Feb 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Benach, PSY.D.
- Title
- Psychologist
- Phone
- (520) 999-0852
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 4465 | AZ | Primary |
Addresses
Primary practice location
4625 E Broadway Blvd Ste 108
Tucson, AZ 85711-3575
Mailing address
PO Box 12432
Tucson, AZ 85732-2432
Other names 1
- J Benach PsyD LLC
National Provider Directory
National Provider DirectoryLocations
2500 N Tucson Blvd
Ste 108
Tucson, AZ 85716
4625 E Broadway Blvd
Ste 108
Tucson, AZ 85711
Phone (520) 999-0852
2505 SE 11th Ave
Ste 218
Portland, OR 97202
Phone (206) 290-3461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519084800000",
"number": "1093215642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12432",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857322432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 E BROADWAY BLVD STE 108",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857113575",
"telephone_number": "520-999-0852"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J BENACH PSYD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-20",
"last_updated": "2018-02-20",
"status": "A",
"authorized_official_last_name": "BENACH",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "520-999-0852",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "AZ",
"license": "4465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "J Benach PsyD LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.