Joseph Benach, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3441 Issued in OR

Practice address

2505 SE 11TH Ave Ste 218
Portland, OR 97202-1062

Phone

(520) 999-0852

NPI assigned

Jul 15, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667692800000",
    "number": "1730563115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SE 11TH AVE STE 218",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021062",
            "telephone_number": "520-999-0852",
            "fax_number": "971-339-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SE 11TH AVE STE 218",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021062",
            "telephone_number": "520-999-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENACH",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-15",
        "last_updated": "2022-11-06",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3441",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Bemis
• Bemobilept, LLC
• Christine Bemrose
• Bjanikka Ben
• Rath Ben, MSW
• Erin Benadik, LMT
• Shantana Myleka Rae Benally, RN
• Lisa D Benaron, M.D.
• Miriah Elise Benarroch
• Craig C. Benben, D.M.D.

• Clinical Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2022; 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.