Organization Active NPI

J Benach PSYD LLC

  • Adult Mental Health Clinic/Center
  • Tucson, AZ
National Provider Identifier
1093215642
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
4465 Issued in AZ
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

Updated by the provider on Feb 20, 2018

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.