Neuropsychiatric Research Center of Southwest Florida LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME92447 Issued in FL

Legal business name

NEUROPSYCHIATRIC RESEARCH CENTER OF SOUTHWEST FLORIDA LLC

Practice address

14271 Metropolis Ave
Suite a
Fort Myers, FL 33912-4302

Phone

(239) 939-7777

Fax

(239) 936-0036

NPI assigned

May 29, 2007

Organization subpart

Yes

Parent organization

EVOLUTION RESEARCH GROUPAs reported in NPPES

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

Authorized official

Name

Wendy R Bond, M.D.

Title

Medical Director

Phone

(239) 939-7777

Specialties & licenses 1

Addresses

Other names 1

• Neuropsychiatric Associates of Southwest Florida Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Georgia D Davault, ARNP-BC

  • Adult Health Nurse Practitioner
  • Fort Myers, FL
  • NPI 1235384694
  NPD (past)
• Kerry Ellis-Berry, A.R.N.P

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Myers, FL
  • NPI 1124420716
  NPD (past)
• Melissa Chaires Schaerf

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Myers, FL
  • NPI 1407395650
  NPD (past)
• Jon Steffen Newman, PH.D.

  • Clinical Psychologist
  • Muskegon, MI
  • NPI 1619027844
  NPD (past)
• John Edward Vanlente, LCSW

  • Social Worker
  • Muskegon, MI
  • NPI 1912019662
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1013118041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14271 METROPOLIS AVE",
            "address_2": "SUITE A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124302",
            "telephone_number": "239-939-7777",
            "fax_number": "239-936-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14271 METROPOLIS AVE",
            "address_2": "SUITE A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124302",
            "telephone_number": "239-939-7777",
            "fax_number": "239-936-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHIATRIC RESEARCH CENTER OF SOUTHWEST FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVOLUTION RESEARCH GROUP",
        "enumeration_date": "2007-05-29",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "239-939-7777",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME92447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuropsychiatric Associates of Southwest Florida",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Psychiatry Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.