Individual provider Active NPI

Rosalita Cruz Benedicto, PH.D.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1194276790
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 28702 Issued in CA
Practice address
10921 Wilshire Blvd Ste 901
Los Angeles, CA 90024-4000
Phone
(888) 813-9613
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY28702 CA
Clinical Psychologist 103TC0700X PSY 28702 CA Primary

Addresses

Primary practice location

10921 Wilshire Blvd Ste 901
Los Angeles, CA 90024-4000

Mailing address

11901 Santa Monica Blvd # 703
Los Angeles, CA 90025-2767
Phone (760) 668-4079

Other names 1

  • Dr. Rosy Benedicto Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 28702CAMDClinical Psychologist
PSY28702CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Onward Psychology a Professional Corporation Clinical CurrentSince Oct 16, 2022 Accepting new patients

Locations

11901 Santa Monica Blvd
#703
Los Angeles, CA 90025

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": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1194276790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 SANTA MONICA BLVD # 703",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252767",
            "telephone_number": "760-668-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD STE 901",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244000",
            "telephone_number": "888-813-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDICTO",
        "first_name": "ROSALITA",
        "middle_name": "CRUZ",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28702",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 28702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSY",
            "last_name": "BENEDICTO",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.