1982907580 NPI number — MS. KIMBERLY BENCHSKY LMHC, CCATP

Table of content: MS. KIMBERLY BENCHSKY LMHC, CCATP (NPI 1982907580)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982907580 NPI number — MS. KIMBERLY BENCHSKY LMHC, CCATP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BENCHSKY
Provider First Name:
KIMBERLY
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMHC, CCATP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
QUADROS
Provider Other First Name:
KIMBERLY
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMHC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1982907580
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/23/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2220 PLAINFIELD PIKE KB
Provider Second Line Business Mailing Address:
STE. 5W
Provider Business Mailing Address City Name:
CRANSTON
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02921-2001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-680-0211
Provider Business Mailing Address Fax Number:
401-942-2416

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2220 PLAINFIELD PIKE
Provider Second Line Business Practice Location Address:
STE. 5W
Provider Business Practice Location Address City Name:
CRANSTON
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02921-2001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-680-0211
Provider Business Practice Location Address Fax Number:
401-942-2416
Provider Enumeration Date:
12/21/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  MHC00624 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: GH57134 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".




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