Robert Benavides Jr.
NPI 1386674059ActiveOrganization· Psychologist· Santa Rosa, CA
Psychologist in Santa Rosa, California, registered in NPPES in July 2006. The authorized official on file is Robert Benavides, ED.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1386674059 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 5, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY11363 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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