John M. Benda Psychotherapy Services, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13217 Issued in MN

Legal business name

JOHN M. BENDA PSYCHOTHERAPY SERVICES, INC.

Practice address

4005 W 65TH St
#216
Edina, MN 55435-1720

Phone

(612) 929-0781

Fax

(952) 285-6780

NPI assigned

Oct 13, 2008

Last updated

Nov 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John M. Benda, LICSWNPI 1194723288

Title

Clinical Social Worker

Phone

(612) 929-0781

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Michael Benda, LICSW

  • Clinical Social Worker
  • Edina, MN
  • NPI 1194723288
  Authorized official Same address or phone

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1861644668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 W 40TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101111",
            "telephone_number": "612-929-0781",
            "fax_number": "952-285-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 W 65TH ST",
            "address_2": "#216",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351720",
            "telephone_number": "612-929-0781",
            "fax_number": "952-285-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. BENDA PSYCHOTHERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "BENDA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "612-929-0781",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "13217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Gudorf Licsw
• David R Joesting, M.D.
• Karn J Johansen, PA-C
• Maija Liv Johansen
• John a. Haugen Associates, P.a.
• Rakesh John, MD
• Johnson Counseling Services LLC
• Andrew C Johnson-Cowley, CRNA
• Andrea Lynn Johnson, PSY.D.
• Angela Susan Johnson, NP-C

• Clinical Social Worker in Edina, MN
• Providers in Edina, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.