Ben1818Llc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

17516 Issued in MD

Legal business name

BEN1818LLC

Practice address

2700 Willow Glen Dr
Baltimore, MD 21209-3103

Phone

(718) 640-5668

NPI assigned

Jan 12, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Alexandra Benyaminov, LCSW-CNPI 1245633635

Title

Psychotherapist

Phone

(718) 640-5668

Specialties & licenses 2

Addresses

Practitioners 1

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

• Alexandra Benyaminov, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1245633635
  NPD (past) Authorized official

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1942666524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WILLOW GLEN DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093103",
            "telephone_number": "718-640-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WILLOW GLEN DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093103",
            "telephone_number": "718-640-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN1818LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "BENYAMINOV",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "718-640-5668",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "17516",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "17516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Arnaud Bemyili Ndoume
• Khaoula Ben Haj Frej, MD
• Esther Ben Or, PA-C
• Yael Ben-Chaim, LMSW
• Daniel Ben-Moyal
• Deborah Bena
• Noelle L Benach, LCPC
• Dina Jayanti Benani, PHARMD
• Christine Benato
• David Roger Benavides, M.D., PH.D.

• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.