Organization Active NPI

Cheryl Benedetto, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salem, OR
National Provider Identifier
1396397618
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CHERYL BENEDETTO, LLC
Doing business as
Cheryl Benedetto, LLC
Practice address
5775 Red Leaf Dr S Apt 213
Salem, OR 97306-3023
Phone
(505) 269-2988
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Authorized official

Name
Cheryl E BenedettoNPI 1871608547
Title
Owner
Phone
(505) 269-2988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5775 Red Leaf Dr S Apt 213
Salem, OR 97306-3023

Mailing address

5775 Red Leaf Dr S Apt 213
Salem, OR 97306-3023
Phone (505) 269-2988

Other practice location 1

1005 21st St SE Ste 3
Rio Rancho, NM 87124-4030
Phone (505) 269-2988

Other practice location 2

2111 Golf Course Rd SE Ste C
Rio Rancho, NM 87124-1634
Phone (505) 289-1139

Other practice location 3

4061 Ridge Rock Rd SE Ste C
Rio Rancho, NM 87124-7627
Phone (505) 289-1139

Other practice location 4

1735 Elk Springs St
Loveland, CO 80538-7312
Phone (505) 269-2988

Other names 1

  • Cheryl Benedetto, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2111 Golf Course Rd SE
Ste C
Rio Rancho, NM 87124
Phone (505) 289-1139

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735344000000",
    "number": "1396397618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 RED LEAF DR S APT 213",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973063023",
            "telephone_number": "505-269-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 RED LEAF DR S APT 213",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973063023",
            "telephone_number": "505-269-2988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 21st St SE Ste 3",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871244030",
            "country_code": "US",
            "telephone_number": "505-269-2988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2111 Golf Course Rd SE Ste C",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871241634",
            "country_code": "US",
            "telephone_number": "505-289-1139",
            "fax_number": "505-545-6723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4061 Ridge Rock Rd SE Ste C",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871247627",
            "country_code": "US",
            "telephone_number": "505-289-1139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1735 Elk Springs St",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805387312",
            "country_code": "US",
            "telephone_number": "505-269-2988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHERYL BENEDETTO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A",
        "authorized_official_last_name": "BENEDETTO",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-269-2988"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheryl Benedetto, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cheryl Benedetto, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; 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.