LARRY M. BENCICH (NPI# 1578700381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578700381 |
| Entity Type | Individual |
| Full Name | LARRY M. BENCICH |
| Credential | PH.D. |
| Practice Address |
220 California Dr Yountville CA 94599-1412 |
| Practice Telephone | 7079444771 |
| Practice Fax Number | 7079482530 |
| Mailing Telephone | 7079444771 |
| Mailing Fax Number | 7079482530 |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 5730 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PSYCHOLOGY LICENSE | PSY 5730 | 01 |
| Street Address |
220 CALIFORNIA DR |
| City | YOUNTVILLE |
| State | CA |
| Zip Code | 94599-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225023872 | Victor J. Aaen | Family Medicine | 220 California Dr, Yountville, CA 94599-1412 | 2005-09-20 |
| 1841505633 | Mary Margaret Cochran Abraham | Registered Nurse | 220 California Dr, Yountville, CA 94599-1412 | 2010-08-17 |
| 1336386150 | Courtney P. Persinger | Psychologist | 220 California Dr, Yountville, CA 94599-1412 | 2009-01-15 |
| 1821234188 | John A. Swieconek | Internal Medicine | 220 California Dr, Yountville, CA 94599-1412 | 2008-12-16 |
| 1710196563 | William Michael Southard | Audiologist | 220 California Dr, Yountville, CA 94599-1412 | 2007-05-21 |
| 1710048798 | Martha Jeannette Jolley | Nurse Practitioner | 220 California Dr, Yountville, CA 94599-1412 | 2006-12-13 |
| 1457432692 | Paul B. Chin | Internal Medicine | 220 California Dr, Yountville, CA 94599-1412 | 2006-10-17 |
| 1790737278 | Susanna Kurk | Dentist | 220 California Dr, Yountville, CA 94599-1412 | 2006-05-16 |
| 1235107194 | Richard M Malan | Dentist | 220 California Dr, Yountville, CA 94599-1412 | 2006-03-08 |
| 1730156282 | Julie Stenger Fields | Preventive Medicine | 220 California Dr, Yountville, CA 94599-1412 | 2006-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386843167 | Veterans Home of California | Pharmacy | 123 California Drive, Yountville, CA 94599 | 2007-07-12 |
| 1215579511 | James David Vye Jr. | Physical Therapist | 1897 Hopper Way, Yountville, CA 94599-1212 | 2019-10-09 |
| 1215249875 | Boyd Patrick Dennington | Dentist | 6525 Washington St, Yountville, CA 94599-1300 | 2010-07-11 |
| 1730522517 | Robert Roy Hampton IIi | Dentist | 6525 Washington St, Yountville, CA 94599-1300 | 2013-04-11 |
| 1578928701 | Kimberly De Luna | Pharmacist | 123 California Dr, Yountville, CA 94599-1411 | 2015-12-14 |
| 1235441163 | Rachelle Marie Methner | Dietitian, Registered | 120 California Dr, Yountville, CA 94599-1411 | 2010-07-08 |
| 1396061255 | Carolyn A Clark | Social Worker | 150 California Dr, Yountville, CA 94599-1411 | 2010-04-15 |
| 1144412156 | Angela Brochu | Dietitian, Registered | 180 California Dr, Yountville, CA 94599-1411 | 2007-08-14 |
| 1033300470 | Lynne Alison Fredricksen | Dietitian, Registered | 110 California Dr, Yountville, CA 94599-1411 | 2007-08-08 |
| 1225236243 | Sharon A. Parda | Dietitian, Registered | 190 California Dr, Yountville, CA 94599-1411 | 2007-07-11 |
| Find all providers in zip 94599 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336386150 | Courtney P. Persinger | Psychologist | 220 California Dr, Yountville, CA 94599-1412 | 2009-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | YOUNTVILLE |
| Zip Code | 94599 |
Please comment or provide details below to improve the information on LARRY M. BENCICH.
| 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.