BREANNE BENEDICT
NPI 1992104715
Psychologist in Tracy, CA

Active since August 18, 2014PECOS Enrolled
2185 W GRANT LINE RD, TRACY, CA 95377(209) 839-6299 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2022, May 20, 2020, Feb 19, 2019 (3 updates tracked since 2019).

About Breanne Benedict NPPES

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

BREANNE BENEDICT (NPI 1992104715) is an individual psychologist in Tracy, California, licensed in California (30435) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992104715
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameBREANNE BENEDICT
Location Address2185 W GRANT LINE RDTracy, CA 95377-7309
Mailing Address2185 W Grant Line RdTracy, CA 95377-7309 · (209) 839-6233
Sole ProprietorNo
Enumeration DateAugust 18, 2014
Last NPPES UpdateJanuary 3, 20223 updates tracked since enumeration
NPPES CertifiedMay 20, 2020
✔ NPI 1992104715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CA · 30435
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2185 W GRANT LINE RD, Tracy, CA 95377

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breanne Benedict is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Breanne Benedict reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Nurse Practitioner
2185 W GRANT LINE RD
TRACY, CA 95377
Psychologist
2185 W GRANT LINE RD
TRACY, CA 95377
Speech-Language Pathologist
2185 W GRANT LINE RD
TRACY, CA 95377
Marriage & Family Therapist
2185 W GRANT LINE RD
TRACY, CA 95377
Pharmacist
2185 W GRANT LINE RD
TRACY, CA 95377
Pharmacist
2185 W GRANT LINE RD
TRACY, CA 95377
Internal Medicine
2185 W GRANT LINE RD
TRACY, CA 95377
Psychologist
2185 W GRANT LINE RD
TRACY, CA 95377

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 Breanne Benedict's NPI number?

The NPI number for Breanne Benedict is 1992104715. It was assigned to this individual provider in the NPPES registry on August 18, 2014.

Where is Breanne Benedict located?

Breanne Benedict practices at 2185 W Grant Line Rd, Tracy, CA 95377. The listed phone number is (209) 839-6299.

What is Breanne Benedict's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Breanne Benedict enrolled in Medicare?

Yes. Breanne Benedict is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Breanne Benedict's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breanne Benedict reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Breanne Benedict's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Breanne Benedict was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.