Elissa P Benedek, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

4301024248 Issued in MI

Practice address

2311 E Stadium Blvd
Suite 111
Ann Arbor, MI 48104-4833

Phone

(734) 665-0074

Fax

(734) 665-9383

NPI assigned

Feb 13, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679615132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 E STADIUM BLVD",
            "address_2": "SUITE 111",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044833",
            "telephone_number": "734-665-0074",
            "fax_number": "734-665-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 E STADIUM BLVD",
            "address_2": "SUITE 111",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044833",
            "telephone_number": "734-665-0074",
            "fax_number": "734-665-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDEK",
        "first_name": "ELISSA",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "EB024248",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301024248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "2618102841",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "BM810164",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhyme Bendali-Amor, PHARMD
• Andrew Thomas Bendall, PA-C
• Debra Sue Bender, NP
• Linda Steinborn Bender, LMSW, ACSW
• Rachel Leah Bender, PA
• Alli Rae Benedetti, AUD
• Giulia Marian Benedetti, MD
• Michelle Benedict
• Patrick W Benedict, MD
• Rebecca Benedict, LMHC

• Child & Adolescent Psychiatry Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Child & Adolescent Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.