IndividualActive
Matthew Benoit, TLLP
NPI 1245899863 · Psychologist · Stevensville, MI
Provider details
- NPI number
- 1245899863
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- TLLP
- Sex
- Male
- Sole proprietor
- No
- License
- 6301017782 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5675 Fairview St
Stevensville, MI 49127-1033
Phone: (269) 429-7727
Street-level locationGet directions
Mailing address
541 Union St
Niles, MI 49120-1536
Additional practice locations (2)
- 1045 E Front StBuchanan, MI 49107-8474Phone: (269) 695-5540
- 2002 S 11th StNiles, MI 49120-4074Phone: (269) 687-0200
Registry dates
- Enumerated
- 2019-06-07
- Last updated
- 2021-03-03
- Certified
- 2021-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.