Mike Benoit
Individual provider Active NPI Community/Behavioral Health Agency · Nottingham, MD
NPI 1417640418 · NPPES record last updated May 31, 2023
Key facts
- NPI
- 1417640418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 4041 Cedarside Dr
Nottingham, MD 21236-1655 - Phone
- (443) 823-8243
- NPI assigned
- May 26, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mens Sana LLC | Community/Behavioral Health | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
4041 Cedarside Dr
Nottingham, MD 21236-1655
Mailing address
4041 Cedarside Dr
Nottingham, MD 21236-1655
Phone (443) 823-8243
Other providers in Nottingham, MD
- Natalie Beglau-Pueyo
- Behavioral Therapy Solutions
- Todd Andrew Belfus
- Jessica Mackenzie Benjes
- Casey Miles Bennett
- Best Life Counseling, Inc.
- Erica Betson
- Susana Beza
- BH Brightview Perry Hall Opco, LLC
- Habiba Bickersteth Adebiyi
All providers in Nottingham, MD · Community/Behavioral Health Agency in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.