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

Dr. Robert Benavides Jr, EDD

Individual provider Psychologist · NPI 1487638714

Dr. Robert Benavides Jr, EDD is a Clinical Psychologist in Santa Rosa, California. Qualified in 1986, 40 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
40
Licensed in
CA
In the registry since
2005
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

2455 Bennett Valley Rd Ste 210 C
Santa Rosa, CA 95404-5663
Phone: (707) 542-2081
Fax: (707) 542-2082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY 11363 (CA)

Record details

NPI number1487638714
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESJuly 9, 2007
Mailing address2455 Bennett Valley Rd, Suite 210 C, Santa Rosa, CA 95404-5663

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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