Individual provider Active NPI

Talya Rebecca Benoff, MD

  • Psychiatry Physician
  • Cranston, RI
National Provider Identifier
1972824522
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
14376 Issued in RI
Practice address
1170 Pontiac Ave
Cranston, RI 02920-7944
Phone
(401) 500-0424
NPI assigned
Jun 17, 2010
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 245256 MA
Psychiatry Physician 2084P0800X 14376 RI Primary

Addresses

Primary practice location

1170 Pontiac Ave
Cranston, RI 02920-7944

Mailing address

420 Scrabbletown Rd Ste a
North Kingstown, RI 02852-3638
Phone (401) 268-5333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140625001826 RI Practitioner - Psychiatry 9931324464 Reassigns benefits to 1 organization
I20251028001080 VT Practitioner - Psychiatry 9931324464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

47 Danielson Pike
North Scituate, RI 02857-1892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
245256MAMDPsychiatry Physician
14376RIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South County Psychiatry LLC Psychiatry CurrentSince Oct 10, 2023 Accepting new patients

Locations

1170 Pontiac Ave
Cranston, RI 02920
Phone (401) 500-0424

420 Scrabbletown Rd
Ste A
North Kingstown, RI 02852
Phone (401) 268-5333

145 Pine Haven Shores Rd
Ste 1191
Shelburne, VT 05482
Phone (401) 268-5333

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1972824522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SCRABBLETOWN RD STE A",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028523638",
            "telephone_number": "401-268-5333",
            "fax_number": "855-268-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207944",
            "telephone_number": "401-500-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOFF",
        "first_name": "TALYA",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "245256",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "14376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.