Rachel Benjamin PSYD Licensed Psychologist PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RACHEL BENJAMIN PSYD LICENSED PSYCHOLOGIST PLLC

Practice address

17138 Alta Vista Dr
Southfield, MI 48075-1981

Phone

(248) 952-8116

NPI assigned

Feb 23, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Rachel Benjamin, PSYD, LP, PLLC

Title

Licensed Clinical Psychologist

Phone

(248) 952-8116

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1104525658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 W 10 MILE RD STE 211",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752079",
            "telephone_number": "248-952-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17138 ALTA VISTA DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751981",
            "telephone_number": "248-952-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL BENJAMIN PSYD LICENSED PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-952-8116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP, PLLC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.