Active NPI
Tatyanna Benoit
- Community/Behavioral Health Agency
- Philadelphia, PA
National Provider Identifier
1942115290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 3131 N Broad St
Philadelphia, PA 19132-2422 - Phone
- (267) 844-9024
- NPI assigned
- Aug 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | PA | ||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | PA | ||
| Behavior Analyst | 103K00000X | PA | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | PA | ||
| Community Health Clinic/Center | 261QC1500X | PA | ||
| Primary Care Clinic/Center | 261QP2300X | PA | ||
| Community/Behavioral Health Agency | 251S00000X | PA | Primary | |
| Adult Mental Health Clinic/Center | 261QM0850X | PA | ||
| Case Management Agency | 251B00000X | PA | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | PA |
Addresses
Primary practice location
3131 N Broad St
Philadelphia, PA 19132-2422
Mailing address
3131 N Broad St Unit 1
PMB 2149
Philadelphia, PA 19132-2422
Phone (267) 844-9024
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1942115290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 N BROAD ST UNIT 1",
"address_2": "PMB 2149",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191322422",
"telephone_number": "267-844-9024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191322422",
"telephone_number": "267-844-9024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENOIT",
"first_name": "TATYANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-18",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "PA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.