Individual provider Active NPI

Ruby R. Benjamin, ED.D.08/14/1931

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1770529331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19-000334 Issued in NY
Practice address
205 W End Ave
/Suite 24L
New York, NY 10023-4804
Phone
(212) 721-5744
Fax
(212) 721-0013
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19-000334 NY Primary

Addresses

Primary practice location

205 W End Ave
/Suite 24L
New York, NY 10023-4804

Mailing address

205 West End Avenue
/Suite 24L
New York, NY 10023-4825
Phone (212) 721-5744

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19-000334NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770529331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WEST END AVENUE",
            "address_2": "/SUITE 24L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234825",
            "telephone_number": "212-721-5744",
            "fax_number": "212-721-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W END AVE",
            "address_2": "/SUITE 24L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234804",
            "telephone_number": "212-721-5744",
            "fax_number": "212-721-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "RUBY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "ED.D.08/14/1931",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "19-000334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.