Benjamin Lye, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME36271 Issued in FL

Practice address

3333 W 20TH St
Jacksonville, FL 32254-1703

Phone

(904) 695-9145

Fax

(904) 695-2465

NPI assigned

Nov 2, 2006

Last updated

May 29, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Mental Health Resource Center Inc

  • Community Health Clinic/Center
  • Jacksonville, FL
  • NPI 1851407365
  Medicare reassignment NPD
• Mental Health Resource Center Inc

  • Community Health Clinic/Center
  • Gainesville, FL
  • NPI 1023688975
  NPD (past)
• Mental Health Resource Center Inc

  • Community Health Clinic/Center
  • Rockledge, FL
  • NPI 1043880909
  NPD (past)
• Mental Health Resource Center Inc

  • Community Health Clinic/Center
  • Jacksonville, FL
  • NPI 1164092029
  NPD (past)
• Mental Health Resource Center Inc

  • Community Health Clinic/Center
  • Winter Haven, FL
  • NPI 1356911218
  NPD (past)
• Mental Health Resource Center Inc

  • Community Health Clinic/Center
  • Jacksonville, FL
  • NPI 1376216945
  NPD (past)
• Mental Health Resource Center Inc

  • Community Health Clinic/Center
  • Clearwater, FL
  • NPI 1457921306
  NPD (past)
• Mental Health Resource Center Inc

  • Community Health Clinic/Center
  • Kissimmee, FL
  • NPI 1881264737
  NPD (past)
• Mental Health Resource Center Inc

  • Community Health Clinic/Center
  • Tampa, FL
  • NPI 1902476864
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1417035775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19189",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322459189",
            "telephone_number": "904-743-1883",
            "fax_number": "904-743-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W 20TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322541703",
            "telephone_number": "904-695-9145",
            "fax_number": "904-695-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYE",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME36271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELDFL",
            "identifier": "15600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDBEHAVIORALHEALTH",
            "identifier": "320538",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065385300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Z Lyapin, M.D.
• Lindsey Marie Lybarger
• Katherine Louise Lycke, M.ED
• Amy Beth Lydon, PT
• Kerri Michelle Lydon, M.D.
• Lyerly Baptist Inc (Baptist Orthopaedics)
• Lyerly Baptist Inc (Baptist Orthopaedics)
• Lyerly Baptist Inc
• Lyerly Baptist Inc
• Lyerly Baptist Inc

• Psychiatry Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.