Dominique Benavidez, PH.D.
Dominique Benavidez, PH.D. is an Intellectual & Developmental Disabilities Psychologist in Long Beach, CA, registered under NPI 1740309525. This provider registers 5 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 335 REDONDO AVE, Long Beach, CA 90814. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| RPS2005098 | CA | Intellectual & Developmental Disabilities… primary |
| 22620 | CA | Adult Development & Aging Psychologist |
| 22620 | CA | Cognitive & Behavioral Psychologist |
| 22620 | CA | Clinical Psychologist |
| 22620 | CA | Clinical Child & Adolescent Psychologist |
This provider holds licence RPS2005098 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Clinical Psychologist
- PAC ID
- 4981756038
- Enrollment ID
- I20090721000187
Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Intellectual & Developmental Disabilities covers
Definition to come... NUCC Health Care Provider Taxonomy, code 103TM1800X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist Intellectual & Developmental Disabilities | RPS2005098 | CA | primary |
| 103TA0700X | Adult Development & Aging Psychologist Adult Development & Aging | 22620 | CA | |
| 103TB0200X | Cognitive & Behavioral Psychologist Cognitive & Behavioral | 22620 | CA | |
| 103TC0700X | Clinical Psychologist Clinical | 22620 | CA | |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | 22620 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1740309525 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 29, 2007 |
| Last updated | Jun 27, 2018 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | PH.D. |
| Practice address |
335 REDONDO AVE Long Beach, CA 90814 (562) 434-3030 Fax (562) 434-3212 |
| Mailing address |
904 SILVER SPUR RD # 297 Rolling Hills Estates, CA 90274 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 4 | 0 | 3 | 0 | 9 | 5 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 8 | 0 | 6 | 0 | 9 | 5 | 4 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.