Christine Marie Dibenedetto, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 7887 Issued in FL

Practice address

5237 Summerlin Commons Blvd # F
Fort Myers, FL 33907-2158

Phone

(239) 357-2298

Fax

(239) 208-2639

NPI assigned

Mar 23, 2007

Last updated

Feb 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael V Oliveri

  • Clinical Neuropsychologist
  • Chesterfield, MO
  • NPI 1891114526
  NPD

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1336266444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11128 YELLOW POPLAR DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138884",
            "telephone_number": "239-357-2298",
            "fax_number": "239-208-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 SUMMERLIN COMMONS BLVD # F",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072158",
            "telephone_number": "239-357-2298",
            "fax_number": "239-208-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBENEDETTO",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "16524",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Diaz, BCBA
• Raul Diaz, M.D.
• Veronica Diaz, APRN
• Tara Dibattisto, PSYD
• Monique P Dibbs Vallee, MD
• Frank Peter Diblase, D.C
• Dicenzo Enterprises Incorporated (Assisting Hands Home Care - Lee & Charlotte County)
• Maurice H Dick, MD
• Mary Elizabeth Ann Dickout, B.A.,CPRP
• Pamela A Dicristofalo, PHARMD

• Clinical Psychologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.