Individual provider Active NPI

Mechibelle Mabanta Lynch, MD

  • Psychiatry Physician
  • Louisville, KY
National Provider Identifier
1740410919
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
46925 Issued in KY
Practice address
4010 Dupont Cir Ste 450
Louisville, KY 40207-4835
Phone
(502) 890-4007
NPI assigned
Jul 21, 2009
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X P2484 TX
Psychiatry Physician 2084P0800X 14833 NV
Psychiatry Physician 2084P0800X 46925 KY Primary

Addresses

Primary practice location

4010 Dupont Cir Ste 450
Louisville, KY 40207-4835

Mailing address

4010 Dupont Cir Ste 450
Louisville, KY 40207-4835
Phone (502) 890-4007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140515001532 KY Practitioner - Psychiatry 0446400576 Practice locations: Louisville, KY
I20140626002298 NV Practitioner - Psychiatry 0446400576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Reno Psychiatric Associates PLLCGroup PAC ID 0648230904, 7 clinicians

Practice addresses (Care Compare)

4010 Dupont Cir
Suite 450
Louisville, KY 40207-4835
Phone (502) 890-4007

6151 Lakeside Dr
Suite 2001
Reno, NV 89511-8541
Phone (775) 329-4284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46925KYMDPsychiatry Physician
14833NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reno Psychiatric Associates PLLC Psychiatry CurrentSince Feb 1, 2018 Accepting new patients
Helen Farabee Regional Centers Past Accepting new patients
Jsa Health Texas, PLLC Psychiatry Past Accepting new patients

Locations

6151 Lakeside Dr
Ste 2001
Reno, NV 89511
Phone (775) 329-4284

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1740410919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 450",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074835",
            "telephone_number": "502-890-4007",
            "fax_number": "502-742-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 450",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074835",
            "telephone_number": "502-890-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "MECHIBELLE",
        "middle_name": "MABANTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P2484",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "14833",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "46925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.