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).
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 |
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 |
Street Address |
171 ASHLEY AVE |
City | CHARLESTON |
State | SC |
Zip Code | 29425-8908 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 29425 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
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] |
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 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 29425 |
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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.