Bennett W Mcallister MD PA
NPI 1104154053 · Mental Health Clinic/Center (Including Community Mental Health Center) · Port Charlotte, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bennett W Mcallister MD PA is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Port Charlotte, FL (NPI 1104154053).
Provider details
- NPI number
- 1104154053
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bennett Mcallister, Owner(941) 625-5895
- License
- ME104685 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Lighthouse Psychiatry
Additional practice locations (1)
- 7317 Merchant Ct Ste aLakewood Ranch, FL 34240-8464Phone: (941) 625-5895Fax: (941) 625-1047
Registry dates
- Enumerated
- 2009-12-03
- Last updated
- 2025-04-26
- Certified
- 2025-04-26
Frequently asked questions
- What is Bennett W Mcallister MD PA's NPI number?
- Bennett W Mcallister MD PA's National Provider Identifier (NPI) is 1104154053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bennett W Mcallister MD PA?
- Bennett W Mcallister MD PA is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Bennett W Mcallister MD PA located?
- Bennett W Mcallister MD PA's practice location on file with NPPES is 4161 Tamiami Trl Ste 304d, Port Charlotte, FL 33952-9254.
- What is Bennett W Mcallister MD PA's phone number?
- The practice phone number listed in the NPPES registry for Bennett W Mcallister MD PA is (941) 625-5895.
- Does Bennett W Mcallister MD PA accept Medicare?
- Bennett W Mcallister MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bennett W Mcallister MD PA?
- The authorized official listed on Bennett W Mcallister MD PA's NPPES record is Bennett Mcallister, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bennett W Mcallister MD PA's NPI active?
- Yes — Bennett W Mcallister MD PA's NPI (1104154053) is active in the NPPES registry as of the last update on 2025-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.