Dr Dominique Benavidez, PHD in Long Beach, CA - Medicare Clinical Psychologist Provider

Dr Dominique Benavidez, PHD is a medicare enrolled "Psychologist - Intellectual & Developmental Disabilities" provider in Long Beach, California. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 335 Redondo Ave, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at (562) 434-3030.

Dr Dominique Benavidez is licensed to practice in California (license number RPS2005098) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740309525.

Contact Information

	Dr Dominique Benavidez, PHD
	335 Redondo Ave, Long Beach, CA 90814
	(562) 434-3030
	(562) 434-3212

Healthcare Provider's Profile

Full Name	Dr Dominique Benavidez
Gender	Female
Speciality	Clinical Psychologist
Experience	19 Years
Location	335 Redondo Ave, Long Beach, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Dominique Benavidez graduated from medical school in 2005

NPI Data:

NPI Number: 1740309525
Provider Enumeration Date: 03/29/2007
Last Update Date: 06/27/2018

Medicare PECOS Information:

PECOS PAC ID: 4981756038
Enrollment ID: I20090721000187

Medical Identifiers

Medical identifiers for Dr Dominique Benavidez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740309525	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TA0700X	Psychologist - Adult Development & Aging	22620 (California)	Secondary
103TB0200X	Psychologist - Cognitive & Behavioral	22620 (California)	Secondary
103TC0700X	Psychologist - Clinical	22620 (California)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	22620 (California)	Secondary
103TM1800X	Psychologist - Intellectual & Developmental Disabilities	RPS2005098 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dominique Benavidez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Dominique Benavidez, PHD 904 Silver Spur Rd # 297, Rolling Hills Estates, CA 90274-3800 Ph: (310) 373-0800	Dr Dominique Benavidez, PHD 335 Redondo Ave, Long Beach, CA 90814 Ph: (562) 434-3030

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Dr Dominique Benavidez, PHD - Medicare Psychologist in Long Beach, CA