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MICHELLE MOSQUEDA BENGZON
NPI 1700304052
Marriage & Family Therapist in New York, NY

Active since September 07, 2017Opted out of Medicare · through Mar 17, 2027
1178 BROADWAY FL 3, NEW YORK, NY 10001(215) 821-0281 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2026, Jan 2, 2025 (2 updates tracked since 2025).

About Michelle Mosqueda Bengzon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE MOSQUEDA BENGZON (NPI 1700304052) is an individual marriage & family therapist in New York, New York, licensed in (002373) and active in the NPI registry since September 2017. She has opted out of Medicare through March 17, 2027.

NPPES Registry Identity

NPI1700304052
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMICHELLE MOSQUEDA BENGZON
Location Address1178 BROADWAY FL 3New York, NY 10001-5666
Mailing Address192 Spencer St Apt 2fBrooklyn, NY 11205-4584 · (215) 821-0281
Phone(215) 821-0281
Sole ProprietorYes
Enumeration DateSeptember 7, 2017
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1700304052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed · 002373
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1178 BROADWAY FL 3, New York, NY 10001
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michelle Mosqueda Bengzon has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 17, 2025 through March 17, 2027.

Opt-Out Effective DateMarch 17, 2025
Opt-Out In Effect ThroughMarch 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOST COAST PSYCHOTHERAPY LCSW PLLC
Clinic/Center (Adult Mental Health)
1178 BROADWAY FL 3
NEW YORK, NY 10001
New York County (929) 262-0794
MS. OTASOWIE LILLIAN OSAIGBOVO LCSW
Social Worker (Clinical)
1178 BROADWAY FL 3
NEW YORK, NY 10001
New York County (551) 257-3810
MS. DEBORAH NAKATO PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1178 BROADWAY FL 3
NEW YORK, NY 10001
New York County (781) 325-2797
EMILY MORGAN NUTRITION
Dietitian, Registered
1178 BROADWAY FL 3
NEW YORK, NY 10001
New York County (914) 260-2298
RICHARD J MIRABEL
Non-emergency Medical Transport (VAN)
1178 BROADWAY FL 3
NEW YORK, NY 10001
New York County (212) 814-4707
DR. DOROTHY PRIOR PSY.D.
Psychologist (Clinical)
1178 BROADWAY FL 3
NEW YORK, NY 10001
New York County (267) 353-1090
MERLITA LONDON
Doula
1178 BROADWAY FL 3
NEW YORK, NY 10001
New York County (917) 447-7969
MOHAMMED SUFIYAAN
Behavior Technician
1178 BROADWAY FL 3
NEW YORK, NY 10001
New York County (917) 284-9393

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Bengzon's NPI number?

The NPI number for Michelle Bengzon is 1700304052. It was assigned to this individual provider in the NPPES registry on September 7, 2017.

Where is Michelle Bengzon located?

Michelle Bengzon practices at 1178 Broadway Fl 3, New York, NY 10001. The listed phone number is (215) 821-0281.

What is Michelle Bengzon's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Michelle Bengzon enrolled in Medicare?

No. Michelle Bengzon has opted out of Medicare through March 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michelle Bengzon was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.