Active NPI
Major Impact, Inc.
- Case Management Agency
- Fort Myers, FL
National Provider Identifier
1104113810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- MAJOR IMPACT, INC.
- Practice address
- 1960 Velasco St
Fort Myers, FL 33916-2761 - Phone
- (239) 226-4357
- Fax
- (239) 226-4352
- NPI assigned
- Jul 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Clayton Lambert Major Sr., M.S.
- Title
- Owner
- Phone
- (239) 822-8401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
1960 Velasco St
Fort Myers, FL 33916-2761
Mailing address
1960 Velasco St
Fort Myers, FL 33916-2761
Phone (239) 226-4357
National Provider Directory
National Provider Directory- Tax ID family
- Major Impact Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Fort Myers, FL
- NPI 1407211535
Locations
1960 Velasco St
Fort Myers, FL 33916
Phone (239) 226-4357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309478400000",
"number": "1104113810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 VELASCO ST",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339162761",
"telephone_number": "239-226-4357",
"fax_number": "239-226-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 VELASCO ST",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339162761",
"telephone_number": "239-226-4357",
"fax_number": "239-226-4352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAJOR IMPACT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-01",
"last_updated": "2011-07-01",
"status": "A",
"authorized_official_last_name": "MAJOR",
"authorized_official_first_name": "CLAYTON",
"authorized_official_middle_name": "LAMBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-822-8401",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
- Main Street Children's Dentistry and Orthodontics of Ft. Myers, P.a.
- Mainstream Physical Therapy LLC
- Jessica Maitre, DNP, APRN
- Major Impact Support Services, Inc
- Major Impact Supports Inc
- Major Impact, Inc.
- Clayton Lambert Major Sr., MS
- Cynthia M Major, CNP, APRN
- Karen M Major, AU.D.,F-AAA
- Theresa Major, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.