KRISTEN MICHELLE BENITO


Address: 1 Hoppin St, Suite 204, Providence, RI 02903-4141
Phone: 4014448945

KRISTEN MICHELLE BENITO (NPI# 1770849242) 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) 1770849242
Entity Type Individual
Full Name KRISTEN MICHELLE BENITO
Credential PH.D.
Practice Address 1 Hoppin St
Suite 204
Providence
RI 02903-4141
Mailing Address 593 Eddy St
Apc 978
Providence
RI 02903-4923
Practice Telephone 4014448945
Practice Fax Number 4014448742
Mailing Telephone 4014444318
Mailing Fax Number 4014447865
Enumeration Date 2012-04-09
Last Update Date 2012-04-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
PS01254 RI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
RI PROFESSIONAL LICENSE PS01254 01

Office Location

Street Address 1 HOPPIN ST
SUITE 204
City PROVIDENCE
State RI
Zip Code 02903-4141

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679579338 William T Mason Internal Medicine 1 Hoppin St, 3rd Floor, Providence, RI 02903-4141 2005-06-27
1578926952 Karyn Hartz-mandell Psychologist 1 Hoppin St, Coro West, Suite 204, 2.115, Providence, RI 02903-4141 2016-04-01
1033589676 Margaret Codispoti Registered Nurse 1 Hoppin St, 3rd Floor, Providence, RI 02903-4141 2015-09-25
1093121394 Michael Walther Psychologist 1 Hoppin St, Suite 204, Providence, RI 02903-4141 2014-07-08
1508277013 Maria Teresa Perez Carballo Pediatrics 1 Hoppin St, Providence, RI 02903-4141 2014-05-19
1609213669 Jennifer Threatt Perry Internal Medicine 1 Hoppin St, Suite 200, Providence, RI 02903-4923 2013-05-31
1174878003 Rachel A Simmons Psychologist 1 Hoppin St, Suite 2.030, Providence, RI 02903-4141 2012-07-17
1689935447 L. Cinnamon Bidwell Psychologist 1 Hoppin St, Suite 204, Providence, RI 02903-4141 2012-06-07
1417218397 Aliya Zul Jiwani Ophthalmology 1 Hoppin St, Coro West Suite 202, Providence, RI 02903-4141 2012-06-06
1194081083 David Heaton Barker Psychologist 1 Hoppin St, Suite 204, Providence, RI 02903-4141 2012-04-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475755 Sarah Fellows Student in an Organized Health Care Education/Training Program 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 2020-10-20
1093328262 Esther Robbins Social Worker 290 West Exchange St., Suite 100, Providence, RI 02903 2020-08-27
1720619489 Ivy Marie Mcdonald Behavioral Analyst 290 W Exchange St #101, Providence, RI 02903 2020-01-31
1447802707 Natalie Monaghan, LLC Social Worker 545 South Water Street, Providence, RI 02903 2019-07-16
1760049522 Daniel Steven Alanko Pediatrics 293 Eddy Street, Providence, RI 02903 2019-05-28
1154894368 Margaret Emily Dyson Behavior Technician 290 W. Exchange St, Providence, RI 02903 2019-01-10
1497235014 Yao Zhou Liu Surgery 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 2018-08-14
1558840645 Tamara Gore Behavior Technician 290 W Exchange Street Suite 101, Providence, RI 02903 2018-08-09
1437642709 Adrian Cotarelo Student in an Organized Health Care Education/Training Program 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 2018-06-12
1356833024 Natalie Rita Noonan Clinical Neuropsychologist 593 Eddy St Ste 430, Providence, RI 02903 2018-05-30
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285269456 Insight Neuropsychology LLC Psychologist 355 Hope St Fl 2, Providence, RI 02906-1633 2020-03-09
1255981247 Preeti Sandhu Psychologist 1 Hoppin Street, Coro West, Suite 204, Providence, RI 02903 2019-09-12
1154815835 Katharine Conrad Reynolds Psychologist 593 Eddy St, Providence, RI 02903-4923 2018-06-18
1578926952 Karyn Hartz-mandell Psychologist 1 Hoppin St, Coro West, Suite 204, 2.115, Providence, RI 02903-4141 2016-04-01
1093121394 Michael Walther Psychologist 1 Hoppin St, Suite 204, Providence, RI 02903-4141 2014-07-08
1942634407 Shareen Holly Psychologist 50 Maude St, Elmhurst Extended Bldg, 5th Fl, Providence, RI 02908-4325 2013-09-02
1821332727 Christina Tortolani Psychologist 593 Eddy St, Potter 3, Providence, RI 02903-4923 2012-11-15
1669721429 Julie Thayer Psychologist 593 Eddy Street, Physician Office Building 122, Providence, RI 02903 2012-09-06
1689935447 L. Cinnamon Bidwell Psychologist 1 Hoppin St, Suite 204, Providence, RI 02903-4141 2012-06-07
1194081083 David Heaton Barker Psychologist 1 Hoppin St, Suite 204, Providence, RI 02903-4141 2012-04-05
Find all providers in PROVIDENCE

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City PROVIDENCE
Zip Code 02903

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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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