Individual provider Active NPI

Michael Benson Meth, PSYD

  • Psychologist
  • New Smyrna Beach, FL
National Provider Identifier
1235876194
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
11479 Issued in FL
Practice address
512 Canal St
New Smyrna Beach, FL 32168-7012
Phone
(954) 817-3036
NPI assigned
May 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 11479 FL Primary

Addresses

Primary practice location

512 Canal St
New Smyrna Beach, FL 32168-7012

Mailing address

2002 Westgate Cir
Williamsburg, VA 23185-2093
Phone (954) 817-3036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220601003118 FL Practitioner - Clinical Psychologist 7618355728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Volusia Neuropsychology and Behavioral Health IncGroup PAC ID 0244213874, 4 clinicians

Practice addresses (Care Compare)

512 Canal St
New Smyrna Beach, FL 32168-7012
Phone (386) 423-0442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11479FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Volusia Neuropsychology & Behavioral Health Inc CurrentSince Jun 1, 2022 Accepting new patients

Locations

221 N Causeway
#B
New Smyrna Beach, FL 32169
Phone (386) 423-0442

512 Canal St
New Smyrna Beach, FL 32168
Phone (386) 423-0442

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1235876194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 WESTGATE CIR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852093",
            "telephone_number": "954-817-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 CANAL ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687012",
            "telephone_number": "954-817-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METH",
        "first_name": "MICHAEL",
        "middle_name": "BENSON",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "11479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.