Active NPI
Gregory Arthur Benitz, PSY.D.
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1265732267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY23858
- Practice address
- 1480 Church St
San Francisco, CA 94131-2050 - Phone
- (415) 287-0371
- NPI assigned
- Oct 25, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY23858 | CA | Primary |
Addresses
Primary practice location
1480 Church St
San Francisco, CA 94131-2050
Mailing address
PO Box 411506
San Francisco, CA 94141-1506
Phone (415) 287-0371
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY23858 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Services for Seniors, a Licensed Clinical Social Worker Co | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Oakland, CA
- NPI 1194030999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336089600000",
"number": "1265732267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411506",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941411506",
"telephone_number": "415-287-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 CHURCH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941312050",
"telephone_number": "415-287-0371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENITZ",
"first_name": "GREGORY",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-25",
"last_updated": "2012-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY23858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.