Individual provider Active NPI

Carlos Israel Perez Benitez, PH.D.

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1114145349
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8052 Issued in FL
Practice address
1701 W Flagler St Ste 310
Miami, FL 33135-2099
Phone
(786) 467-7006
Fax
(786) 999-0971
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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 PY8052 FL Primary

Addresses

Primary practice location

1701 W Flagler St Ste 310
Miami, FL 33135-2099

Mailing address

1701 W Flagler St
Ste 310
Miami, FL 33135-2099
Phone (786) 467-7006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814000849 FL Practitioner - Clinical Psychologist 8325280712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1550 Madruga Ave
Suite 312
Coral Gables, FL 33146-3070
Phone (786) 467-7006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Center for Cognitive Therapy, LLC Clinical CurrentSince Apr 30, 2013 Accepting new patients

Locations

1550 Madruga Ave
Ste 312
Coral Gables, FL 33146
Phone (305) 588-3888

1701 W Flagler St
Ste 310
Miami, FL 33135
Phone (786) 467-7006

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1114145349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W FLAGLER ST",
            "address_2": "STE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352099",
            "telephone_number": "786-467-7006",
            "fax_number": "786-999-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W FLAGLER ST STE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352099",
            "telephone_number": "786-467-7006",
            "fax_number": "786-999-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ BENITEZ",
        "first_name": "CARLOS",
        "middle_name": "ISRAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.