Camille Benito, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY10983 Issued in FL

Practice address

5551 N University Dr Ste 202
Coral Springs, FL 33067-4651

Phone

(954) 755-2885

NPI assigned

Feb 8, 2021

Last updated

Sep 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joel I Kimmel PHD PAGroup PAC ID 1759358161, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Joel I Kimmel PHD PA

  • Clinical Psychologist
  • Coral Springs, FL
  • NPI 1922179746
  Medicare reassignment Care Compare group NPD
• Lotus Mental Health Group P.a. (Dba Lotus Perinatal)

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longmont, CO
  • NPI 1982375739
  NPD (past)

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1225620578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CAPITAL CIR SE STE 18283",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013802",
            "telephone_number": "954-866-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 N UNIVERSITY DR STE 202",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674651",
            "telephone_number": "954-755-2885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6671 W Indiantown Rd Ste 50-153",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334583991",
            "country_code": "US",
            "telephone_number": "561-205-6887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENITO",
        "first_name": "CAMILLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaneth P Beltran, RD/LDN
• Yisell Georgina Bencomo Gonzalez
• Paul Xavier Benedetto, M.D.
• Robert Alan Benevento, D.C.
• Julia Benitez-Estevenz, L.AC., LMT
• Adam Benjamin, OD
• Lewis Shelley Benjamin, D.M.D., M.S.
• Raina Benjamin
• Annalesia Stephennie Bennett
• James Bennett Jr., D.M.D.

• Clinical Psychologist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.