Healthcare Provider Details

I. General information

NPI: 1700341047
Provider Name (Legal Business Name): STELLA BENAMI PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2019
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date: 12/28/2019
Reactivation Date: 02/11/2020

III. Provider practice location address

7900 E UNION AVE STE 1100
DENVER CO
80237-2746
US

IV. Provider business mailing address

7900 E UNION AVE STE 1100
DENVER CO
80237-2746
US

V. Phone/Fax

Practice location:
  • Phone: 303-515-1554
  • Fax:
Mailing address:
  • Phone: 303-515-1554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number00005157
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: