Individual provider Active NPI

Miriam Deborah Benhaim, PH.D

  • Psychologist
  • New York, NY
National Provider Identifier
1477627834
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7709-1 Issued in NY
Practice address
168 W 86TH St
1D
New York, NY 10024-4022
Phone
(212) 799-9180
Fax
(212) 749-2481
NPI assigned
Nov 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7709-1 NY Primary

Addresses

Primary practice location

168 W 86TH St
1D
New York, NY 10024-4022

Mailing address

168 W 86TH St
1D
New York, NY 10024-4022
Phone (212) 799-9180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20110804000032 NY Practitioner - Clinical Psychologist 3971772161 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

168 W 86 St
New York, NY 10024-4023
Phone (212) 799-9180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7709-1NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477627834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 W 86TH ST",
            "address_2": "1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244022",
            "telephone_number": "212-799-9180",
            "fax_number": "212-749-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 W 86TH ST",
            "address_2": "1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244022",
            "telephone_number": "212-799-9180",
            "fax_number": "212-749-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENHAIM",
        "first_name": "MIRIAM",
        "middle_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "7709-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.