Gustavo Alberto Benejam, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY11658 Issued in FL

Practice address

2730 SW 3Rd Ave Ste 305
Miami, FL 33129-2323

Phone

(561) 350-7761

NPI assigned

Feb 20, 2023

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1285332197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 NE 16TH ST APT 6",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333044812",
            "telephone_number": "561-350-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SW 3RD AVE STE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292323",
            "telephone_number": "561-350-7761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 E Broward Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333012046",
            "country_code": "US",
            "telephone_number": "561-350-7761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENEJAM",
        "first_name": "GUSTAVO",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY11658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benefica Rehabilitation
• Benefica Rehabilitation Center, Inc.
• Beneficial Medical Supply Inc
• Beneficial Therapy Inc
• Beneito Behavior Therapist LLC
• George Robert Benelli, R.T, RPA
• Nicolas David Benelli, MD
• Sandra Benelli, ARNP
• Marta Benemelis Ramirez
• Yaima Benemelis, ARNP

• Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.