Active NPI
Elizabeth Benton, PSY.D.
- Clinical Psychologist
- Lighthouse Point, FL
National Provider Identifier
1669769048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8312
- Practice address
- 5130 NE 30TH Ter
Lighthouse Point, FL 33064-7835 - Phone
- (561) 451-5699
- NPI assigned
- Jul 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8312 | FL | Primary |
Addresses
Primary practice location
5130 NE 30TH Ter
Lighthouse Point, FL 33064-7835
Mailing address
5130 NE 30TH Te
Lighthouse Point, FL 33064
Phone (561) 451-5699
Other names 1
- Dr. Lisa Benton
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8312 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1669769048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5130 NE 30TH TE",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "33064",
"telephone_number": "561-451-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 NE 30TH TER",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330647835",
"telephone_number": "561-451-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTON",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "8312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "BENTON",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lighthouse Point, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.