Takako Benn MD PLLC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

Legal business name

TAKAKO BENN MD PLLC

Practice address

251 E Merrill St Ste 230
Birmingham, MI 48009-6116

Phone

(248) 949-0484

Fax

(248) 773-8565

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Takako Benn, MDNPI 1932596731

Title

Director

Phone

(248) 248-9490

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Takako Benn

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1932596731
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1851961197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E MERRILL ST STE 230",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096116",
            "telephone_number": "248-949-0484",
            "fax_number": "248-773-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E MERRILL ST STE 230",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096116",
            "telephone_number": "248-949-0484",
            "fax_number": "248-773-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKAKO BENN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "BENN",
        "authorized_official_first_name": "TAKAKO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-248-9490",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard W Suttle, P.A.
• Kelly Ann Sweeney
• Synergy Wellness
• Haley Sztykiel, LMSW
• Jennifer Jo Tackett, ART THERAPIST ATR
• Beverly Steinman Talan, PH.D.
• Tangelo - Intend, Inc.
• Katherine Marie Tarpeh, M.S.E.
• Bradley Thomas Tata, MT-BC
• Patricia Ann Tattrie, PSY.D. L.P.

• Prescribing (Medical) Psychologist in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Prescribing (Medical) Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.