Individual provider Active NPI

David S Geiser, PH.D.

  • Clinical Neuropsychologist
  • Eustis, FL
National Provider Identifier
1114107232
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY5048 Issued in FL
Practice address
24931 Saranac CT
Eustis, FL 32736-8911
Phone
(239) 822-2915
Fax
(833) 968-0319
NPI assigned
Nov 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY5048 FL Primary

Addresses

Primary practice location

24931 Saranac CT
Eustis, FL 32736-8911

Mailing address

24931 Saranac CT
Eustis, FL 32736-8911
Phone (239) 822-2915

Other identifiers 1

IdentifierTypeStateIssuer
59527OtherFLBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1950 Courtney Dr
Suite 2
Fort Myers, FL 33901-9086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY5048FLMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychology, PA Clinical Neuropsychologist PastSince Mar 22, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1114107232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24931 SARANAC CT",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327368911",
            "telephone_number": "239-822-2915",
            "fax_number": "833-968-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24931 SARANAC CT",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327368911",
            "telephone_number": "239-822-2915",
            "fax_number": "833-968-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISER",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY5048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "59527",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

Verify at the official NPI Registry.