Emilie Bennett-Medicis, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

74624 Issued in CA

Practice address

44447 10TH St W
Lancaster, CA 93534-3324

Phone

(661) 726-2630

Fax

(661) 723-3211

NPI assigned

Jun 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1134483787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44447 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343324",
            "telephone_number": "661-726-2630",
            "fax_number": "661-723-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44447 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343324",
            "telephone_number": "661-726-2630",
            "fax_number": "661-723-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT-MEDICIS",
        "first_name": "EMILIE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "74624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan C Benefiel, M.D.
• Myra Benford
• Priscilla Lynka Benites, M.S.
• Anna Priscilla Benitez, MSW
• Jennifer Benitez
• Vonalie Bennett, MSW
• Jerome Benosa, PHARM.D.
• Ewa Bensi
• Robert Lewis Berger, IMF
• Barry J Berman, MD

• Marriage & Family Therapist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.