DR. MARK K BENANDER (NPI# 1194801928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194801928 |
| Entity Type | Individual |
| Full Name | DR. MARK K BENANDER |
| Credential | PH.D., M.S. |
| Practice Address |
300 Stafford St Suite 254 - Medical Psychiatry Springfield MA 01104-3581 |
| Practice Telephone | 4137487010 |
| Practice Fax Number | 4137487011 |
| Mailing Telephone | 4137487010 |
| Mailing Fax Number | 4137487011 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
7373 | MA | Behavioral Health & Social Service Providers |
| Street Address |
300 STAFFORD ST SUITE 254 - MEDICAL PSYCHIATRY |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-3581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497756092 | Robert Philip Hoffman | Internal Medicine | 300 Stafford St, Suite 306, Springfield, MA 01104-3581 | 2005-08-03 |
| 1932601887 | Luybang Trinh | Internal Medicine | 300 Stafford St, Springfield, MA 01104-4110 | 2018-03-07 |
| 1730621491 | Chrispina Marunga Chitemerere | Nurse Practitioner | 300 Stafford St, Springfield, MA 01104-4110 | 2016-11-12 |
| 1245615285 | Pioneer Continuing Care Providers, PC | Family Medicine | 300 Stafford St, Suite 200, Springfield, MA 01104-4110 | 2015-07-20 |
| 1255751509 | Alise Bartolucci | Nurse Practitioner | 300 Stafford St, Suites 101, 154 & 161, Springfield, MA 01104-4110 | 2014-04-24 |
| 1407297971 | Samantha Lee Lyman | Physician Assistant | 300 Stafford St, Springfield, MA 01104 | 2013-07-12 |
| 1346511243 | Pioneer Valley Cardiology Associates, Inc | Specialist | 300 Stafford St, Springfield, MA 01104 | 2012-01-24 |
| 1235456385 | Christopher R Russo | Internal Medicine | 300 Stafford St, # 154 / 101, Springfield, MA 01104-4110 | 2010-04-29 |
| 1952630493 | Valley Podiatry Associates, PC | Podiatrist | 300 Stafford St, Suite 256, Springfield, MA 01104-3581 | 2009-12-11 |
| 1174776454 | Sleepcures LLC | Clinic/Center | 300 Stafford St, Ste 102, Springfield, MA 01104-3581 | 2008-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| 1194359216 | Kathrin A Koehler | Psychologist | 4674 Hominy Ridge Rd, Springfield, OH 45502-8031 | 2020-02-27 |
| 1689126120 | Assessment Consultants, LLC | Psychologist | 2146 W Chesterfield Blvd Ste E202, Springfield, MO 65807-8650 | 2016-11-01 |
| 1003366436 | Caitriona Hayes | Psychologist | 8134 Old Keene Mill Road, Suite 101, Springfield, VA 22152 | 2016-10-10 |
| 1669929907 | Richart Lipe Demier | Psychologist | 5871 S Northern Ridge Rd, Springfield, MO 65810-1976 | 2016-09-03 |
| 1043660905 | Safe Harbor Christian Counseling of Northern Virginia LLC | Psychologist | 8304 Old Keene Mill Rd, Springfield, VA 22152-1640 | 2016-06-21 |
| 1659786432 | Kimberly Wilkins Psyd LLC | Psychologist | 1344 W Oakville Rd, Springfield, MO 65810-1696 | 2014-06-30 |
| 1548507817 | Bahn and Associates | Psychologist | 3000 Professional Dr Ste D, Bahn Consulting, Inc., Springfield, IL 62703-5931 | 2013-01-07 |
| 1396004990 | Cultivate Psychological Services LLC | Psychologist | 1439 S Rogers Ave, Springfield, MO 65804-1129 | 2012-05-16 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01104 |
Please comment or provide details below to improve the information on DR. MARK K BENANDER.
| 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.