J BENACH PSYD LLC (NPI# 1093215642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093215642 |
| Entity Type | Organization |
| Organization Name | J BENACH PSYD LLC |
| Other Organization Name | J BENACH PSYD LLC |
| Practice Address |
4625 E Broadway Blvd Ste 108 Tucson AZ 85711-3575 |
| Mailing Address |
Po Box 12432 Tucson AZ 85732-2432 |
| Practice Telephone | 5209990852 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |
| Authorized Official Name | JOSEPH BENACH (PSYCHOLOGIST) |
| Authorized Official Telephone | 5209990852 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
4465 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| J Benach PsyD LLC | Doing Business As Name - Organization |
| Street Address |
4625 E BROADWAY BLVD STE 108 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85711-3575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730563115 | Joseph Benach | Psychologist | 4625 E Broadway Blvd Ste 108, Tucson, AZ 85711-3575 | 2015-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| 1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
| 1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
| 1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
| 1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
| Find all providers in zip 85711 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093240020 | Cottonwood Tucson Outpatient Services | Clinic/Center | 4110 W Sweetwater Dr Bldg 16, Tucson, AZ 85745-9348 | 2017-04-27 |
| 1760916407 | Grace Home Assisted Living 1 | Clinic/Center | 2301 S Quail Hollow Dr, Tucson, AZ 85710-7986 | 2017-04-19 |
| 1730534405 | New Horizons Behavioral Health Services Inc | Clinic/Center | 5849 E 5th St, Tucson, AZ 85711-2403 | 2016-04-29 |
| 1205293487 | Neuropco LLC | Clinic/Center | 4061 E Via Del Vireo, Tucson, AZ 85718-3311 | 2016-01-20 |
| 1265806186 | Banner -- University Medicine Crisis Response Center LLC | Clinic/Center | 2802 E District St Fl 1, Tucson, AZ 85714-2081 | 2015-11-16 |
| 1457755183 | Barrabee Therapy LLC | Clinic/Center | 2299 W. Camino San Acacio, Tucson, AZ 85741-3696 | 2014-10-09 |
| 1487984720 | Desert Milagros, LLC | Clinic/Center | 3438 N. Country Club Road, Tucson, AZ 85716-1257 | 2010-01-09 |
| 1588814685 | Valerie M. Kading, Np, P.l.l.c | Clinic/Center | 6969 E Sunrise Dr, Suite 202, Tucson, AZ 85750-0720 | 2008-09-24 |
| 1770742959 | University Physicians Healthcare | Clinic/Center | 2800 E. Ajo Way, Tucson, AZ 85713-3204 | 2008-06-03 |
| 1033319751 | Codac Behavioral Health Services of Pima County, Inc. | Clinic/Center | 721 N 4th Ave, Tucson, AZ 85705-8446 | 2007-07-20 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.