Gulfshore Behavioral Health

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

GULFSHORE BEHAVIORAL HEALTH

Practice address

1555 Matthew Dr
Fort Myers, FL 33907-1734

Phone

(239) 533-9860

NPI assigned

Aug 21, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Samantha DenboerNPI 1841673100

Title

Owner, Licensed Psychologist

Phone

(239) 533-9860

Specialties & licenses 4

Addresses

Practitioners 2

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

• Samantha Denboer, M.S., PSY.D.

  • Clinical Psychologist
  • Fort Myers, FL
  • NPI 1841673100
  NPD Authorized official
• Hannah Strom

  • Clinical Psychologist
  • Fort Myers, FL
  • NPI 1124641451
  NPD (past)

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699747200000",
    "number": "1144877424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 MATTHEW DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071734",
            "telephone_number": "239-533-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 MATTHEW DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071734",
            "telephone_number": "239-533-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFSHORE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2023-11-12",
        "certification_date": "2023-11-12",
        "status": "A",
        "authorized_official_last_name": "DENBOER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER, LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "239-533-9860",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Medical Equipment Inc
• Gulf Shore Internal Medicine, P.a.
• Gulf-to-Bay Anesthesiology Associates LLC
• Gulfcoast MD PA
• Gulfcoast Spine Institute, LLC (BioSpine Institute)
• Gulfshore Dermatology, P.a.
• Gulfshore Spinal Care, LLC (Gulfshore Spinal Care)
• Gulfside Center for Psychological Services
• Gulfside Healthcare Inc
• Gulfstream Urology, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.