Individual provider Active NPI

Michel E Bensadon, LCSWR

  • Clinical Social Worker
  • White Plains, NY
National Provider Identifier
1750438867
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R041593 Issued in NY
Practice address
199 Main St
Suite 200
White Plains, NY 10601-3200
Phone
(914) 413-1682
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R041593 NY Primary

Addresses

Primary practice location

199 Main St
Suite 200
White Plains, NY 10601-3200

Mailing address

20 Rockledge Rd
Hartsdale, NY 10530-3477
Phone (914) 413-1682

Other identifiers 1

IdentifierTypeStateIssuer
00243229MedicaidNY

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1750438867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ROCKLEDGE RD",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105303477",
            "telephone_number": "914-413-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MAIN ST",
            "address_2": "SUITE 200",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106013200",
            "telephone_number": "914-413-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSADON",
        "first_name": "MICHEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R041593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243229",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.