Lorna L. Benbenisty, PH.D., LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0001483 Issued in GA

Legal business name

LORNA L. BENBENISTY, PH.D., LLC

Practice address

10475 Medlock Bridge Rd
Suite 315
Duluth, GA 30097-2002

Phone

(678) 935-9567

Fax

(678) 935-9568

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Lorna L. Benbenisty, PH.D.

Title

Licensed Psychologist

Phone

(678) 935-9567

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1871628271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 315",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972002",
            "telephone_number": "678-935-9567",
            "fax_number": "678-935-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 315",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972002",
            "telephone_number": "678-935-9567",
            "fax_number": "678-935-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORNA L. BENBENISTY, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "BENBENISTY",
        "authorized_official_first_name": "LORNA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "678-935-9567",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "0001483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LORNA L BENBENISTY, PH.D.",
            "identifier": "1326108820",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00459797A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loma Clinic
• Marypaige Long, M.ED
• Miranda Kristen Long
• Daniel Bradley Lord, M.D.
• Julius Lorinc, SA
• Stacy-Ann Latoya Louie, IBCLC
• Michael Lubarsky, M.D.
• Tania Lugo, MD
• Miriam Iuliana Lulusa, PHARMD
• Andrew Lutz, PT

• Psychologist in Duluth, GA
• Providers in Duluth, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.