Healthcare Provider Details

I. General information

NPI: 1831837806
Provider Name (Legal Business Name): BENJAMIN SETH MCCART-SCHNEIDER RADT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2022
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44199 MONROE ST
INDIO CA
92201-3096
US

IV. Provider business mailing address

36101 BOB HOPE DR STE A
RANCHO MIRAGE CA
92270-2001
US

V. Phone/Fax

Practice location:
  • Phone: 760-863-8262
  • Fax:
Mailing address:
  • Phone: 760-321-1315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: