ELYSIA BENEDICT (NPI# 1881084523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881084523 |
| Entity Type | Individual |
| Full Name | ELYSIA BENEDICT |
| Credential | PH.D. |
| Practice Address |
774 Christiana Rd Ste 201a Newark DE 19713-4221 |
| Mailing Address |
105 Rutgers Ave Unit 420 Swarthmore PA 19081-2242 |
| Practice Telephone | 6105660501 |
| Practice Fax Number | 6105660502 |
| Mailing Telephone | 4844420141 |
| Mailing Fax Number | 6105959724 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | PS018174 | PA | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | B1-0001051 | DE | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PS018174 | PA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
B1-0001051 | DE | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13 W Third St, Media, PA 190632803 | 4844420141 | 6105959724 |
| 215 N Olive St Ste 101, Media, PA 190632838 | 4844420141 | 6105959724 |
| Street Address |
774 CHRISTIANA RD STE 201A |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336119346 | Glen David Greenberg | Clinical Neuropsychologist | 774 Christiana Rd Ste 201a, Newark, DE 19713-4221 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047746 | Center for Grief Therapy and Education, P.a. | Psychologist | 300 Creek View Rd Ste 101a, Newark, DE 19711-8547 | 2019-11-15 |
| 1467097113 | Creekview Psychological Assessment Center, Pa | Psychologist | 300 Creek View Rd Ste 101b, Newark, DE 19711-8547 | 2019-11-15 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1235654088 | American International Clinical Enterprise | Psychologist | 50 Norfolk St, Newark, NJ 07103-3228 | 2017-08-12 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1467857334 | Kendra Koehler | Psychologist | Christiana Care Health System 4755 Rd, Suite 1070, Newark, DE 19718-0001 | 2014-11-04 |
| 1265834493 | Charlotte Selig | Psychologist | 19 Newland Ct, Newark, DE 19713-2815 | 2014-09-18 |
| 1558617423 | Justin Robert Misurell | Psychologist | 185 Washington St, Metro Rdtc, Newark, NJ 07102-3011 | 2012-07-30 |
| 1295025146 | Rosemary Szczechowski | Psychologist | 14 Willow Creek Ln, Newark, DE 19711-3422 | 2011-04-12 |
| 1982902722 | Sally Ramsden Barker | Psychologist | J-25 Omega Drive, Newark, DE 19713-0000 | 2011-03-03 |
| Find all providers in NEWARK | ||||
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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.