SARAH WILDERMUTH BENTON


Address: 2924 Brook Rd, Children's Hospital, Richmond, VA 23220-1215
Phone: 8043217474

SARAH WILDERMUTH BENTON (NPI# 1174775290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174775290
Entity Type Individual
Full Name SARAH WILDERMUTH BENTON
Credential PSY.D.
Practice Address 2924 Brook Rd
Children's Hospital
Richmond
VA 23220-1215
Mailing Address 2924 Brook Rd
Children's Hospital Credentialing Dept
Richmond
VA 23220-1215
Practice Telephone 8043217474
Practice Fax Number 8042285210
Mailing Telephone 8043217474
Mailing Fax Number 8042285210
Enumeration Date 2008-10-21
Last Update Date 2010-09-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
09-19P AR Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
0810004207 VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 004909976 05

Other Providers SARAH BENTON

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1003142092 Sarah A Benton Counselor 34 Main Street Ext, Suite 103, Plymouth, MA 02360-8302 2009-10-26
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Office Location

Street Address 2924 BROOK RD
CHILDREN'S HOSPITAL
City RICHMOND
State VA
Zip Code 23220-1215

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841258589 Crippled Children's Hospital General Acute Care Hospital 2924 Brook Rd, Richmond, VA 23220-1215 2006-05-03
1104454271 Zoe Amanda Levenson Social Worker 2924 Brook Rd, Richmond, VA 23220-1215 2020-04-01
1053672469 Jessica Zinder Lynn Occupational Therapist 2924 Brook Rd, Children's Hospital of Richmond @ Vcu, Richmond, VA 23220-1215 2012-06-01
1164783585 Christine Johnson Popp Speech-Language Pathologist 2924 Brook Rd, Children's Hosp of Richmond @ Vcu Credentilaing Dept, Richmond, VA 23220-1215 2012-06-01
1114286366 Sangita Suresh Kling Dietitian, Registered 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 2012-05-09
1831462233 Heather Ann Downing Physical Therapist 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 2012-02-15
1376815118 Natalie Nicole Dmitrovich Speech-Language Pathologist 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 2012-02-08
1386916443 Kori A. Harrow Speech-Language Pathologist 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 2012-02-06
1497026678 Caitlin Boyle Trumbore Nurse Practitioner 2924 Brook Rd, Children's Hospital, Richmond, VA 23220-1215 2012-01-20
1528337623 Stephanie Ann Keen-pilecki Occupational Therapist 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 2011-12-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538637855 Lindsay Kruger Health Educator 2 W Franklin Street, Richmond, VA 23220 2018-11-05
1578045993 Lauren Jernegan Physician Assistant 204 S Mulberry St, Richmond, VA 23220 2018-09-01
1699266312 Madhura Vikas Chitnavis Student in an Organized Health Care Education/Training Program Vcuhs Dept of Radiology, 980615, 1250 E Marshall St, Richmond, VA 23220 2018-05-29
1457842759 Alfred Vann II Social Worker 119 W. Leigh St., Richmond, VA 23220 2018-05-22
1598269193 Lilah Sol Health Educator Ymca, 2 W Franklin St., Richmond, VA 23220 2018-03-20
1568965531 Anne Danforth Health Educator 2 West Franklin Street, Downtown Ymca, Richmond, VA 23220 2018-03-15
1154840791 Constant Change Enterprises LLC Counselor 1805 Monument Avenue, Suite 208, Richmond, VA 23220 2017-09-14
1023534393 Diane H Brown Social Worker 2106 Rosewood Avenue, Richmond, VA 23220 2017-08-18
1831624295 Trent Roubleau Student in an Organized Health Care Education/Training Program 2114 Maplewood Ave, Richmond, VA 23220 2017-04-24
1679013312 Blair Fine Social Worker 2117 West Main Street, Richmond, VA 23220 2017-02-28
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1417435447 Erin D. Kurtz Psychologist 1201 Broad Rock Blvd # 116b, Richmond, VA 23249-0001 2018-08-01
1649762873 Caitlin Paige Campbell Psychologist 1201 Brock Road Blvd, Richmond, VA 23249-0001 2018-06-04
1689195141 Kimberly Knight Hilton Psychologist 2401 Hartman St, Richmond, VA 23223-2458 2017-07-05
1720511504 Marshall Psychological Services, LLC Psychologist 2800 N. Parham Road, Suite 107, Richmond, VA 23294 2017-04-07
1740732981 Howard Lloyd Psychologist 907 Floyd Ave, Richmond, VA 23284-9026 2016-11-03
1679929061 Elizabeth Meghan Archer Wheeler Psychologist 7400 Beaufort Springs Drive, Suite 300, Richmond, VA 23225-3039 2016-05-04
1730558909 Jodi Suzanne Couick Psychologist 3000 Parker Rd, Richmond, CA 94806-2742 2015-09-17
1386024461 Rosalie Corona Psychologist 4730 East Southside Plaza, Richmond, VA 23224 2015-06-04
1649677337 Yuriy Ustinov Psychologist 3 Baker St, Richmond, ME 04357-1387 2014-11-25
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Competitor

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City RICHMOND
Zip Code 23220

Improve Information

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Dataset Information

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.

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