Active NPI
Anna Lee Benson, PHD CLINICAL PSYCHOL
- Psychologist
- Santa Ysabel, CA
National Provider Identifier
1821101924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY11686
- Practice address
- 30240 Hwy 78
Santa Ysabel, CA 92070 - Phone
- (760) 765-3578
- Fax
- (760) 765-2810
- NPI assigned
- Aug 16, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY11686 | CA | Primary |
Addresses
Primary practice location
30240 Hwy 78
Santa Ysabel, CA 92070
Mailing address
PO Box 35
Santa Ysabel, CA 92070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY116862 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150420001343 | CA | Practitioner - Clinical Psychologist | 3173841350 | Practice locations: Oceanside, CA; Temecula, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2424 Vista Way
Suite 210
Oceanside, CA 92054-6169
Phone (760) 613-0002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY11686 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821101924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35",
"city": "SANTA YSABEL",
"state": "CA",
"postal_code": "92070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30240 HWY 78",
"city": "SANTA YSABEL",
"state": "CA",
"postal_code": "92070",
"telephone_number": "760-765-3578",
"fax_number": "760-765-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "ANNA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHD CLINICAL PSYCHOL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY11686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY116862",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Ysabel, CA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.