Therapeutic Sanctuary, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THERAPEUTIC SANCTUARY, INC.

Practice address

3960 Harlem Rd Ste 13
Amherst, NY 14226-4746

Phone

(716) 446-4168

Fax

(716) 446-4140

NPI assigned

Jun 28, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Tara M Benson, LCSWNPI 1598117772

Title

Executive Director

Phone

(716) 446-4168

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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

• Tara Benson

  • Clinical Social Worker
  • Amherst, NY
  • NPI 1598117772
  NPD Authorized official

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1508483363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 HARLEM RD STE 13",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264746",
            "telephone_number": "716-446-4168",
            "fax_number": "716-446-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 HARLEM RD STE 13",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264746",
            "telephone_number": "716-446-4168",
            "fax_number": "716-446-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC SANCTUARY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-28",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-446-4168",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Testa Pfhoman
• Samantha Lynn Texido, DPT
• The Cataract Vision Institute LLC
• Scott Then, PARAMEDIC
• Therapeutic Sanctuary Counseling & Play Therapy Center
• Vasuki Thevanayagam, DDS
• Madison Thie, LCSW
• Jamie Lee Thielman
• Thinfastmd Buffalo, Wisdom Medicine PLLC
• Gomathi Sheila Thiruvannamalai, LMSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Amherst, NY
• Providers in Amherst, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.