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BENNETT W MCALLISTER MD PA
NPI 1104154053
Clinic/Center - Mental Health (Including Community Mental Health Center) in Port Charlotte, FL

Active since December 03, 2009
4161 TAMIAMI TRL STE 304D, PORT CHARLOTTE, FL 33952(941) 625-5895(941) 625-1047 Get Directions Write a Review

NPPES record last updated: April 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bennett W Mcallister Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENNETT W MCALLISTER MD PA (NPI 1104154053) is a healthcare organization registered as a mental health (including community mental health center) in Port Charlotte, Florida and active in the NPI registry since December 2009. The organization maintains a secondary practice location in Lakewood Ranch and lists Bennett William Mcallister, Owner, as its authorized official.

NPPES Registry Identity

NPI1104154053
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBENNETT W MCALLISTER MD PA
Location Address4161 TAMIAMI TRL STE 304DPort Charlotte, FL 33952-9254
Mailing AddressPo Box 512139Punta Gorda, FL 33951-2139 · (941) 205-2417 · Fax (941) 205-2422
Phone(941) 625-5895
Fax(941) 625-1047
Organization SubpartNo
Authorized OfficialBennett William McallisterOwner · (941) 625-5895
Enumeration DateDecember 3, 2009
Last NPPES UpdateApril 26, 2025
NPPES CertifiedApril 26, 2025
✔ NPI 1104154053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License ME104685 (FL)
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
4161 TAMIAMI TRL STE 304D, Port Charlotte, FL 33952
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Other Names 1

Other NameLighthouse Psychiatry

Secondary Practice Location 1

Location 17317 Merchant Ct Ste ALakewood Ranch, FL 34240-8464 · Phone (941) 625-5895 · Fax (941) 625-1047

Other Identifiers 2

Medicaid001284200FL
Medicaid114514100FL

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CANDIS L JACKSON LMHC
Counselor (Mental Health)
4161 TAMIAMI TRL STE 304D
PORT CHARLOTTE, FL 33952
Charlotte County (941) 625-5895
DR. BENNETT WILLIAM MCALLISTER MD
Psychiatry & Neurology (Psychiatry)
4161 TAMIAMI TRL STE 304D
PORT CHARLOTTE, FL 33952
Charlotte County (941) 625-5895
BELINDA ALMA LMHC
Counselor (Mental Health)
4161 TAMIAMI TRL STE 304D
PORT CHARLOTTE, FL 33952
Charlotte County (941) 625-5895
CHARMAINE ROSEMARIE WOLFE LMHC
Counselor (Mental Health)
4161 TAMIAMI TRL STE 304D
PORT CHARLOTTE, FL 33952
Charlotte County (416) 255-8959
HEDRICK FRANK LMHC
Counselor (Mental Health)
4161 TAMIAMI TRL STE 304D
PORT CHARLOTTE, FL 33952
Charlotte County (941) 625-5895
MS. RANDY M CISNE LMHC
Counselor (Mental Health)
4161 TAMIAMI TRL STE 304D
PORT CHARLOTTE, FL 33952
Charlotte County (941) 625-5895
CHEMENDA SAWYER LMHC
Counselor (Mental Health)
4161 TAMIAMI TRL STE 304D
PORT CHARLOTTE, FL 33952
Charlotte County (941) 625-5895

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bennett W Mcallister MD PA's NPI number?

The NPI number for Bennett W Mcallister MD PA is 1104154053. It was assigned to this organization in the NPPES registry on December 3, 2009. The provider is also known as Lighthouse Psychiatry.

Where is Bennett W Mcallister MD PA located?

Bennett W Mcallister MD PA is located at 4161 Tamiami Trl Ste 304D, Port Charlotte, FL 33952. The listed phone number is (941) 625-5895.

What is Bennett W Mcallister MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Bennett W Mcallister MD PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Bennett W Mcallister MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bennett W Mcallister MD PA was last updated on April 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.