Dr Dibenedetto Psychology Practice

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

016791 Issued in NY

Legal business name

DR DIBENEDETTO PSYCHOLOGY PRACTICE

Practice address

87 Maple Ave
Red Bank, NJ 07701-1619

Phone

(917) 716-6117

NPI assigned

Apr 27, 2017

Last updated

Apr 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alyse Dibenedetto, PSYD

Title

Clinical Psychologist/Owner

Phone

(917) 716-6117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1316472293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 MAPLE AVE # 2",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011619",
            "telephone_number": "917-716-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011619",
            "telephone_number": "917-716-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DIBENEDETTO PSYCHOLOGY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "DIBENEDETTO",
        "authorized_official_first_name": "ALYSE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "917-716-6117",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.