Active NPI
Talya Rebecca Benoff, MD
- Psychiatry Physician
- Cranston, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 14376
- Practice address
- 1170 Pontiac Ave
Cranston, RI 02920-7944 - Phone
- (401) 500-0424
- NPI assigned
- Jun 17, 2010
- Last updated
- Oct 5, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 245256 | MA | MD | Psychiatry Physician |
| 14376 | RI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South County Psychiatry LLC | Psychiatry | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.