D J Koehn Consulting Services Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

D J KOEHN CONSULTING SERVICES INC.

Practice address

8359 Beacon Blvd Ste 301
Fort Myers, FL 33907-3059

Phone

(571) 309-7993

Fax

(800) 387-5701

NPI assigned

Nov 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. David James Koehn, PH.D.NPI 1700217429

Title

President

Phone

(571) 309-7993

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, WY2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David James Koehn, PH.D.

  • Clinical Psychologist
  • Fort Myers, FL
  • NPI 1700217429

  Behavior Analyst, WY

  Medicare reassignment NPD Authorized official
• Nelson Lloyd Hadler, LCSW, LCADC, CCS

  • Clinical Social Worker
  • Fort Myers, FL
  • NPI 1952748980

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1003329632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4384 BOWSPRIT CT APT 2B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194711",
            "telephone_number": "571-309-7993",
            "fax_number": "800-387-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8359 BEACON BLVD STE 301",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073059",
            "telephone_number": "571-309-7993",
            "fax_number": "800-387-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D J KOEHN CONSULTING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "KOEHN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-309-7993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cypress Rehab Center
• Cypress Square Health Care Associates, LLC
• Hannah Cyr, AA
• Jacob Mark Czajka, PA-C
• Mackenzie Czurak
• Michael D'Agosta Jr., DO
• Anthony D'Alba, PA
• Angela D'Alessandro, D.O.
• Elio C.J. D'Amico, D.D.S.
• James Michael D'Amico, D.D.S., M.S.

• Clinical Psychologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.