Benjamin Outreach Medical Network Corporation
Adult Development & Aging - Psychology Clinic
3939 Hollywood Blvd Ste 1b, Hollywood
Florida, 33021-6749
954-251-0267 754-212-0473
Maps & DirectionsBenjamin Outreach Medical Network Corporation is a Adult Development & Aging - Psychology Clinic in Hollywood, Florida. It is located at 3939 Hollywood Blvd Ste 1b, Hollywood, FL and its contact number is 954-251-0267. The authorized person for Benjamin Outreach Medical Network Corporation is Ilnise Mathieu
who is Office Manager of the clinic and his/her contact number is 954-251-0267.
Benjamin Outreach Medical Network Corporation Clinic provide support to individuals at all points of life who are facing developmental issues or problems related to aging.
Adult development & aging psychologist help patients to deal with motor skill development, language acquisition, emotional development, the emergence of self-awareness and self-concept, cognitive development during childhood and throughout life, social and cultural influences on child development, personality development, moral reasoning, developmental challenges and learning disabilities.
Complete Clinic Profile:
Benjamin Outreach Medical Network Corporation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Benjamin Outreach Medical Network Corporation |
| Specialization: | Adult Development & Aging Psychology |
| Clinic Address: | 3939 Hollywood Blvd Ste 1b, Hollywood,
Florida, 33021-6749 |
| Phone: | 954-251-0267 |
| Fax: | 754-212-0473 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ilnise Mathieu |
| Position: | Office Manager |
| Contact Number: | 954-251-0267 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Benjamin Outreach Medical Network Corporation clinic are as mentioned below.
| NPI Number: | 1518248418 |
| NPI Enumeration Date: | 06 Sep, 2011 |
| NPI Last Update On: | 04 Jul, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Benjamin Outreach Medical Network Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Health Service | | | Primary | |
| Adult Development & Aging | | | Secondary | |
| Family | | | Secondary | |
| Group Psychotherapy | | | Secondary | |
| Community/behavioral Health | | | Secondary | |
| Community Health | | | Secondary | |
| Mental Health (Including Community Mental Health Center) | | | Secondary | |
| Primary Care | | | Secondary | |
| Community Based Residential Treatment, Mental Retardation And/or Developmental Disabilities | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 279510800 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Benjamin Outreach Medical Network Corporation
3939 Hollywood Blvd Ste 1b,
Hollywood, Florida |
| Zip: | 33021-6749 |
| Phone Number: | 954-251-0267 |
| Fax Number: | 954-239-7987 |
Patients can reach Benjamin Outreach Medical Network Corporation at
3939 Hollywood Blvd Ste 1b, Hollywood, Florida or can
call to book an appointment on 954-251-0267.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.