Tammy Benitez, B.S.

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

2708 NE 14TH Street, Suite 5
Pompano Beach, FL 33062

Phone

(954) 603-7885

Fax

(954) 342-0273

NPI assigned

May 31, 2011

Sex

Female

Sole proprietor

Yes

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.

• Butterfly Effects

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pompano Beach, FL
  • NPI 1104124940
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 31, 2011.

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1487948014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 NE 14TH STREET, SUITE 5",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33062",
            "telephone_number": "954-603-7885",
            "fax_number": "954-342-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 NE 14TH STREET, SUITE 5",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33062",
            "telephone_number": "954-603-7885",
            "fax_number": "954-342-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "TAMMY",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole Marie Berger, DDS

• All providers in Pompano Beach, FL
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.