Jeffrey Moulton Benevedes, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY9860 Issued in CA

Practice address

444 E Valmonte Norte
Palm Springs, CA 92262-6035

Phone

(760) 325-6522

NPI assigned

Sep 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jeffrey Moulton Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2019 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1275729840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 E VALMONTE NORTE",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626035",
            "telephone_number": "760-325-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 E VALMONTE NORTE",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626035",
            "telephone_number": "760-325-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTON BENEVEDES",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "MOULTON",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Fady Mosaad, RPH
• Brian T Mosher, MA
• Diana Mosqueda
• Alexandra Emily Moss, RN, APRN, NP, B.C.
• Joseph Abraham Mott, M.D., J.D.
• Mountain Radiology, Inc
• Phillip Garo Mouradkhanian, DO
• Jennifer Moya, ED.S.
• Willie Junior Moyer III
• MPG Wellness Initiative, Inc.

• Clinical Psychologist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.