Healthcare Provider Details

I. General information

NPI: 1275736811
Provider Name (Legal Business Name): BENJAMIN ARTHUR CAREY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 COMMERCIAL BLVD STE SUTE-108
NOVATO CA
94949-6175
US

IV. Provider business mailing address

2053 THOMAS BISHOP LN
VIRGINIA BEACH VA
23454-1129
US

V. Phone/Fax

Practice location:
  • Phone: 415-506-0262
  • Fax: 415-506-0275
Mailing address:
  • Phone: 757-343-8541
  • Fax: 757-481-0835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number0101043676
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberG41559
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberG41559
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: