Active NPI
Collins Benye
- Addiction (Substance Use Disorder) Psychologist
- Hawthorne, CA
National Provider Identifier
1447465976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- License
- RI-B0509271001
- Practice address
- 11633 Hawthorne Blvd
210
Hawthorne, CA 90250-2321 - Phone
- (310) 978-0461
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | RI-B0509271001 | CA | Primary |
Addresses
Primary practice location
11633 Hawthorne Blvd
210
Hawthorne, CA 90250-2321
Mailing address
1951 S Sherbourne Dr Apt 3
Los Angeles, CA 90034-1342
Phone (310) 815-8846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI-B0509271001 | CA | MD | Addiction (Substance Use Disorder) Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidance Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Hawthorne, CA
- NPI 1225257116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447465976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 S SHERBOURNE DR APT 3",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900341342",
"telephone_number": "310-815-8846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11633 HAWTHORNE BLVD",
"address_2": "210",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502321",
"telephone_number": "310-978-0461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENYE",
"first_name": "COLLINS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RI-B0509271001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.