Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Outreach Medical Network Corporation

Organization Adult Development & Aging Psychologist · NPI 1518248418

Benjamin Outreach Medical Network Corporation is an Adult Development & Aging Psychologist in Hollywood, Florida. Works from 2 locations. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
9

Practice location Address checks out

3939 Hollywood Blvd Ste 1B
Hollywood, FL 33021-6749
Phone: (954) 251-0267
Fax: (754) 212-0473
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7900 Nw 27th Ave Ste B03, Miami, FL 33147-4910 — (954) 251-0267

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X
Adult Development & Aging Psychologist Taxonomy 103TA0700X
Family Psychologist Taxonomy 103TF0000X
Group Psychotherapy Psychologist Taxonomy 103TP2701X
Community/Behavioral Health Agency Taxonomy 251S00000X
Community Health Clinic/Center Taxonomy 261QC1500X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Primary Care Clinic/Center Taxonomy 261QP2300X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1518248418
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ilnise Mathieu — Office Manager · (954) 251-0267
Other names Benjamin Wellness Center Of Hollywood
NPI enumeratedSeptember 6, 2011
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing address3939 Hollywood Blvd Ste 1b, Hollywood, FL 33021-6749