Benjamin Outreach Medical Network Corporation
NPI 1518248418 · Health Service Clinic/Center · Hollywood, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Benjamin Outreach Medical Network Corporation is a Health Service Clinic/Center organization in Hollywood, FL (NPI 1518248418).
Provider details
- NPI number
- 1518248418
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ilnise Mathieu, Office Manager(954) 251-0267
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Psychologist103TF0000X
Behavioral Health & Social Service Providers
- Group Psychotherapy Psychologist103TP2701X
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Mailing address
Other names (DBA / former)
- Doing business as
- Benjamin Wellness Center of Hollywood
Additional practice locations (1)
- 7900 Nw 27th Ave Ste B03Miami, FL 33147-4910Phone: (954) 251-0267
Registry dates
- Enumerated
- 2011-09-06
- Last updated
- 2025-07-04
- Certified
- 2025-07-04
Frequently asked questions
- What is Benjamin Outreach Medical Network Corporation's NPI number?
- Benjamin Outreach Medical Network Corporation's National Provider Identifier (NPI) is 1518248418, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Benjamin Outreach Medical Network Corporation?
- Benjamin Outreach Medical Network Corporation is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Benjamin Outreach Medical Network Corporation located?
- Benjamin Outreach Medical Network Corporation's practice location on file with NPPES is 3939 Hollywood Blvd Ste 1b, Hollywood, FL 33021-6749.
- What is Benjamin Outreach Medical Network Corporation's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Outreach Medical Network Corporation is (954) 251-0267.
- Does Benjamin Outreach Medical Network Corporation accept Medicare?
- Benjamin Outreach Medical Network Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Benjamin Outreach Medical Network Corporation?
- The authorized official listed on Benjamin Outreach Medical Network Corporation's NPPES record is Ilnise Mathieu, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Benjamin Outreach Medical Network Corporation's NPI active?
- Yes — Benjamin Outreach Medical Network Corporation's NPI (1518248418) is active in the NPPES registry as of the last update on 2025-07-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.