DR. ANDREANA BENITEZ


Address: 171 Ashley Ave, Charleston, SC 29425-8908
Phone: 8437921414

DR. ANDREANA BENITEZ (NPI# 1487088894) 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) 1487088894
Entity Type Individual
Full Name DR. ANDREANA BENITEZ
Credential PHD
Practice Address 171 Ashley Ave
Charleston
SC 29425-8908
Mailing Address Po Box 751461
Msc 323
Charlotte
NC 28275-1461
Practice Telephone 8437921414
Mailing Telephone 8437926200
Enumeration Date 2013-08-22
Last Update Date 2016-06-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 1275 SC Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
1275 SC Behavioral Health & Social Service Providers

Office Location

Street Address 171 ASHLEY AVE
City CHARLESTON
State SC
Zip Code 29425-8908

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942203922 Nicholas J Pastis Jr. Internal Medicine 171 Ashley Ave, Charleston, SC 29425-8900 2005-05-24
1760083745 Eleta Lazar Donelan Physician Assistant 171 Ashley Ave, Charleston, SC 29425-0100 2020-11-05
1285231340 Bree Romecki Nurse Practitioner 171 Ashley Ave, Charleston, SC 29425-0100 2020-10-02
1942812078 Warren Allen James Student in an Organized Health Care Education/Training Program 171 Ashley Ave, Charleston, SC 29425-8908 2020-08-19
1457962060 Rosmary Ros-demarize Psychologist 171 Ashley Ave, Charleston, SC 29425-0100 2020-08-17
1558971390 Auryelle Ascue Nurse Practitioner 171 Ashley Ave, Charleston, SC 29425-8908 2020-08-06
1396361994 David Gonzalez Nurse Practitioner 171 Ashley Ave, Charleston, SC 29425-8911 2020-06-19
1003432592 Hannah Burrick Audiologist 171 Ashley Ave, Charleston, SC 29425-8903 2020-06-19
1528683562 Kelsey Renee Full Emergency Medicine 171 Ashley Ave, Charleston, SC 29425-0100 2020-06-16
1861017949 Christina Lee Anesthesiology 171 Ashley Ave, Charleston, SC 29425-8908 2020-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922607217 Krishna Bhandari Thoracic Surgery (Cardiothoracic Vascular Surgery) 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 2020-10-19
1649892456 Mary Macrae Lynch Social Worker 179 Ashley Avenue, Charleston, SC 29425 2020-05-14
1528600053 Amanda Watts Physician Assistant 135 Rutledge Ave. Msc 561, Charleston, SC 29425 2019-10-16
1851945497 Kacy Wonder Dentist 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 2019-08-01
1477114569 Justin Robert Silverman Surgery 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 2019-06-28
1740840024 Tyler Buckley Surgery 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 2019-06-18
1366001760 Rayphael Sebastian Hardy Internal Medicine 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 2019-06-10
1437718889 Samar Medani Internal Medicine Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 2019-06-10
1427617950 Emily Suzanne Nyers Internal Medicine 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 2019-06-09
1790343564 Alan Cowei Peh Psychiatry & Neurology 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 2019-06-05
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184132193 South Carolina Neuro, LLC Clinical Neuropsychologist 29 Leinbach Drive, D4, Charleston, SC 29407-7086 2018-01-12
1427261783 Charleston Psychiatry Clinical Neuropsychologist 9929 F University Blvd, 2 B, Charleston, SC 29406 2007-05-07
1447206941 C. David Blair Clinical Neuropsychologist 179 Summers St, Suite 706, Charleston, WV 25301-2163 2006-05-26
1528670304 Heather Holden Clinical Neuropsychologist 109 Bee St, Charleston, SC 29401-5703 2020-08-21
1902428725 Emmi Scott Clinical Neuropsychologist 171 Ashley Ave, Charleston, SC 29425-8908 2020-05-14
1649769431 Danielle L. Cool Clinical Neuropsychologist 109 Bee St, Charleston, SC 29401-5703 2018-05-07
1922536598 Dana M Szeles Clinical Neuropsychologist 135 Rutledge Ave, Charleston, SC 29425-8903 2017-05-26
1831575083 Margaret B Hudepohl Clinical Neuropsychologist 171 Ashley Ave, Charleston, SC 29425-1873 2015-08-10
1548599160 Jeffrey James Schneider Clinical Neuropsychologist 109 Bee St, Compensation and Pension, Charleston, SC 29401-5703 2009-12-10
1407089584 Travis Henry Turner Clinical Neuropsychologist 109 Bee St, Ralph H Johnson Vamc, Mh 116, Charleston, SC 29401-5703 2009-08-24
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Competitor

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City CHARLESTON
Zip Code 29425

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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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