Individual provider Active NPI

Jay Leonard Temkin, M.D.

  • Psychiatry Physician
  • Naples, FL
National Provider Identifier
1811051774
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME84229 Issued in FL
Practice address
5793 Lago Villaggio Way
Naples, FL 34104-5741
Phone
(239) 274-0018
NPI assigned
Dec 21, 2006
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME84229 FL Primary

Addresses

Primary practice location

5793 Lago Villaggio Way
Naples, FL 34104-5741

Mailing address

5793 Lago Villaggio Way
Naples, FL 34104-5741
Phone (239) 274-0018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1811051774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5793 LAGO VILLAGGIO WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341045741",
            "telephone_number": "239-274-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5793 LAGO VILLAGGIO WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341045741",
            "telephone_number": "239-274-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMKIN",
        "first_name": "JAY",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME84229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.