Active NPI
Ruby R. Benjamin, ED.D.08/14/1931
- Mental Health Counselor
- New York, NY
National Provider Identifier
1770529331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 19-000334
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 19-000334 | NY | MD | Mental 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.