Individual provider Active NPI

Sean Michael Benedict, PSY.D

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1245478254
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC36505 Issued in CA
Practice address
1820 J St
Sacramento, CA 95811-3010
Phone
(916) 313-8432
NPI assigned
Jan 29, 2009
Last updated
Jan 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC36505 CA Primary

Addresses

Primary practice location

1820 J St
Sacramento, CA 95811-3010

Mailing address

1820 J St
Sacramento, CA 95811-3010
Phone (916) 313-8432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240111004252 CA Practitioner - Marriage and Family Therapist 9234580499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspace HealthGroup PAC ID 8426157975, 29 clinicians

Practice addresses (Care Compare)

3441 Marysville Blvd
Sacramento, CA 95838-4512
Phone (916) 469-4698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC36505CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Health CurrentSince Jan 1, 2024 Accepting new patients
Wellspace Health Current Accepting new patients
Wellspace Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

6015 Watt Ave
Ste 2
North Highlands, CA 95660
Phone (916) 368-3080

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

2433 Marconi Ave
Sacramento, CA 95821
Phone (916) 822-8970

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

8233 E Stockton Blvd
Ste D
Sacramento, CA 95828
Phone (916) 236-4700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1245478254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958113010",
            "telephone_number": "916-313-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958113010",
            "telephone_number": "916-313-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-29",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.