DR. BENJAMIN WILLIAM STRACK (NPI# 1205119633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205119633 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN WILLIAM STRACK |
| Credential | PH.D. |
| Practice Address |
23 Corporate Plaza Dr Ste 150 Newport Beach CA 92660-7908 |
| Mailing Address |
2668 S Grand Ave Santa Ana CA 92705-5402 |
| Practice Telephone | 9496292560 |
| Mailing Telephone | 9497227805 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2018-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY 24425 | CA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY 24425 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 24425 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY 24425 | CA | Behavioral Health & Social Service Providers |
| N | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
PSY 24425 | Behavioral Health & Social Service Providers | |
| N | 103TF0000X |
Psychologist Specialization: Family |
PSY 24425 | CA | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
PSY 24425 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4000 Macarthur Blvd Ste 900, Newport Beach, CA 926602522 | 9497834128 |
| Street Address |
23 CORPORATE PLAZA DR STE 150 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-7908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982769253 | Jacklyn Elizabeth Lewis | Psychologist | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2006-12-27 |
| 1225645096 | Iamee Kling | Student in an Organized Health Care Education/Training Program | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2020-09-25 |
| 1386251122 | Matthew Nozaki | Student in an Organized Health Care Education/Training Program | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2020-09-25 |
| 1235751561 | Ashley Elizabeth Attaway | Student in an Organized Health Care Education/Training Program | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2020-05-08 |
| 1396201273 | Center for Integrative Health | Psychologist | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2019-02-14 |
| 1821580226 | Healthnode Inc. | Case Management | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2018-05-31 |
| 1295242303 | Sahra Kim | Student in an Organized Health Care Education/Training Program | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2018-01-10 |
| 1619487287 | Allied Psychological Services, P.C. | Psychologist | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2017-10-09 |
| 1932621216 | Newport Psychology | Clinical Neuropsychologist | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660 | 2017-07-08 |
| 1417207358 | Payam Jafari | Psychologist | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2012-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396248266 | Simrin Jaglan | Psychologist | 351 Hospital Rd Ste 206, Newport Beach, CA 92663-3504 | 2018-03-16 |
| 1366854754 | Myriad Behavioral Solutions, Inc. | Psychologist | 4100 Newport Place Dr, Suite 730, Newport Beach, CA 92660-2423 | 2014-05-20 |
| 1548541352 | Melanie Diane Murua | Psychologist | 1401 Dove St Ste 420, Newport Beach, CA 92660-2420 | 2011-09-07 |
| 1245524107 | Sonja Jo Bethune | Psychologist | 4000 Macarthur Blvd Ste 900, Newport Beach, CA 92660-2517 | 2011-06-07 |
| 1093008484 | Carolyn Cherie | Psychologist | 180 Newport Center Dr Ste 225, Newport Beach, CA 92660-0904 | 2011-05-18 |
| 1962709030 | Cindy Bollman | Psychologist | 6209 San Joaquin Plz, Newport Beach, CA 92660-5983 | 2011-02-25 |
| 1558698407 | Arthur E. Holden Jr. | Psychologist | 20101 Sw Birch St Ste 240, Newport Beach, CA 92660-1769 | 2009-11-13 |
| 1033348230 | Stefanie M Tweedly | Psychologist | 1601 Dove St Ste 193, Newport Beach, CA 92660-2441 | 2009-07-08 |
| 1447491964 | Gabriela E. Sweidan | Psychologist | 4570 Campus Dr., Suite # 8, Newport Beach, CA 92660 | 2009-03-12 |
| 1942459482 | Cynthia Diane Baker | Psychologist | 1101 Dove St Ste 150, Newport Beach, CA 92660-2826 | 2008-09-09 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on DR. BENJAMIN WILLIAM STRACK.
| 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.