Robert Benavides Jr., ED.D.
NPI 1487638714ActiveIndividual· Psychologist· Santa Rosa, CA
Psychologist (ED.D.) in Santa Rosa, California, licensed in CA, with an NPI issued in November 2005. Medicare paid $12,687 for services to 13 patients in 2024.
Overview
| NPI | 1487638714 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ED.D. |
| Sole proprietor | No |
| NPI issued | Nov 30, 2005 |
| Last updated in NPPES | Jul 9, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY 11363 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 116 across 3 procedure codes |
| Paid by Medicare | $12,687 |
Education and affiliations
| Graduation year | 1986 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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All 99 psychologists in Santa Rosa · All psychologists in California