Individual provider Active NPI

Benjamin N.R. Cheyette, M.D., PH.D.

  • Psychiatry Physician
  • Burlingame, CA
National Provider Identifier
1093733198
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G86539 Issued in CA
Practice address
1860 El Camino Real Ste 250
Burlingame, CA 94010-3111
Phone
(650) 449-8718
Fax
(650) 449-8719
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G86539 CA Primary

Addresses

Primary practice location

1860 El Camino Real Ste 250
Burlingame, CA 94010-3111

Mailing address

1860 El Camino Real Ste 250
Burlingame, CA 94010-3111
Phone (650) 449-8718

Other practice location 1

401 Parnassus Ave
San Francisco, CA 94143-2211
Phone (415) 476-7500

Other practice location 2

301 Industrial Rd
San Carlos, CA 94070-2603
Phone (650) 596-4195

Other identifiers 1

IdentifierTypeStateIssuer
00G865390MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040729001151 CA Practitioner - Psychiatry 4183694714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, Geffen School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1860 El Camino Real
Suite 250
Burlingame, CA 94010-3111
Phone (844) 867-8444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
G86539CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health Solutions a Professional Medical Corporation Psychiatry CurrentSince Jan 18, 2021 Accepting new patients

Locations

1860 El Camino Real
Ste 250
Burlingame, CA 94010
Phone (650) 449-8718

3300 Webster St
Ste 803
Oakland, CA 94609

3300 Webster St
Ste 402
Oakland, CA 94609
Phone (510) 451-6020

360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 671-6819

350 Parnassus Ave
Ste 201
San Francisco, CA 94117
Phone (415) 964-5137

361 3rd St
Ste A
San Rafael, CA 94901
Phone (415) 612-1908

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1093733198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL STE 250",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103111",
            "telephone_number": "650-449-8718",
            "fax_number": "650-449-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL STE 250",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103111",
            "telephone_number": "650-449-8718",
            "fax_number": "650-449-8719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Parnassus Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432211",
            "country_code": "US",
            "telephone_number": "415-476-7500",
            "fax_number": "415-502-6361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Industrial Rd",
            "address_purpose": "LOCATION",
            "city": "San Carlos",
            "state": "CA",
            "postal_code": "940702603",
            "country_code": "US",
            "telephone_number": "650-596-4195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEYETTE",
        "first_name": "BENJAMIN",
        "middle_name": "N.R.",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G86539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G865390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.