DR. DANIEL STEPHEN BENVENISTE PH.D.
NPI 1003115429
Psychologist - Clinical in Bellevue, WA

NPI Status: Active since March 24, 2011

Contact Information

1450 114TH AVE SE STE 105
BELLEVUE, WA
ZIP 98004
Phone: (425) 455-0882

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  • Individual
  • Male
  • Psychologist
  • Clinical
  • Opted-Out Medicare

About DANIEL BENVENISTE

This page provides the complete NPI Profile along with additional information for Daniel Benveniste, a provider established in Bellevue, Washington with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1003115429 assigned on March 2011. The practitioner's primary taxonomy code is 103TC0700X with license number PY60196503 (WA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1003115429
Provider Name
DR. DANIEL STEPHEN BENVENISTE PH.D.
Gender
Male
Entity Type
Individual
Location Address
1450 114TH AVE SE STE 105 BELLEVUE, WA 98004
Location Phone
(425) 455-0882
Mailing Address
4096 173RD PL SE BELLEVUE, WA 98008
Mailing Phone
(425) 455-0882
Is Sole Proprietor?
Yes
Enumeration Date
03-24-2011
Last Update Date
06-17-2013
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A clinical psychologist like Daniel Benveniste assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Daniel Benveniste opted out of Medicare effective on 06-07-2024 until 06-07-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PY60196503
License State
WA
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

PSY12868 (CA)

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 06-07-2024

  • Opt-Out End Date: 06-07-2026

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003115429, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 2 + 1 + 1 + 0 + 4 + 4 + 24 = 41

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 41 is 50. The difference is the calculated check digit.

50 - 41 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1003115429.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor (Mental Health)
1450 114TH AVE SE STE 105
BELLEVUE, WA 98004
Psychologist (Clinical)
1450 114TH AVE SE STE 105
BELLEVUE, WA 98004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003115429, enumerated as an "individual" on March 24, 2011.

The provider is located at 1450 114TH AVE SE STE 105 BELLEVUE, WA 98004 and the phone number is (425) 455-0882.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.