Cynthia L Benfanti, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD00040890 Issued in WA

Practice address

6815 100TH St E
Puyallup, WA 98373-1107

Phone

(253) 840-1573

Fax

(253) 848-1455

NPI assigned

Dec 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316003502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 100TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731107",
            "telephone_number": "253-840-1573",
            "fax_number": "253-848-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 100TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731107",
            "telephone_number": "253-840-1573",
            "fax_number": "253-848-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENFANTI",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00040890",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD00040890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H31646",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8319345",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Mary Belmer
• Jessie Michelle Belt, LPN
• Jalyn Benca, DNP
• Stefanie Rose Benesh
• Benevolent Healthcare Solutions, LLC
• Jackie Marie Bennett, LMP, CLT
• Randall Paul Bennett, MD
• Kelly Leigh Bennette, LMT
• Lindsey Benoit
• Jillian Benson, LMP

• Child & Adolescent Psychiatry Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Child & Adolescent Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.