Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992104715 Individual Practitioner Female Practitioner

Breanne Benedict

Psychologist • Tracy, CA

Professional Overview & Biography Verified Profile Summary

Breanne Benedict is a registered healthcare professional specializing in Psychologist in Tracy, CA. Practice services are available at 2185 W GRANT LINE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2185 W Grant Line Rd

Tracy, CA 953777309

Telephone 2098396299
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Tracy, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Tracy, CA (7695 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-05-20
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License CA 30435

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Elena Costa , NP

Nurse Practitioner

NPI 1033288931

Nurse Practitioner

NPI 1043373020

Doctor of Psychology (Psy.D.)

Myra Mae Haya , CCC-SLP

Speech-Language Pathologist

NPI 1063185957

Speech-Language Pathologist (Certificate of Clinical Competence)

Timothy Wong , LMFT

Marriage & Family Therapist

NPI 1093970618

Licensed Marriage and Family Therapist

NPI 1114451564

Doctor of Pharmacy (Pharm.D.)

NPI 1124552419

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2022

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location May 20, 2020

Registered at 2185 W GRANT LINE RD, TRACY, CA 953777309 (Tel: 2098396299)

📍
Updated Business Mailing Address May 20, 2020

Registered at 2185 W GRANT LINE RD, TRACY, CA 953777309 (Tel: 2098396233)

📍
Updated Practice Location February 19, 2019

Registered at 6620 VIA DEL ORO, SAN JOSE, CA 951191392 (Tel: 4083602395)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2019

Psychologist (License #30435 in CA)

NPI Profile Active August 26, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2014

Registered at 1375 55TH ST, EMERYVILLE, CA 946082609 (Tel: 5106557880)

📍
Updated Business Mailing Address August 26, 2014

Registered at 1375 55TH ST, EMERYVILLE, CA 946082609 (Tel: 5106557880)

👤
Provider Name / Credentials Updated August 26, 2014

Recorded as BREANNE BENEDICT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 18, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992104715
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2014
Last Update: January 03, 2022
Sole Proprietor: No

Mailing Address

2185 W Grant Line Rd

Tracy, CA 953777309

Phone: 2098396233

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.