Christine Marie Needham, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

SS0000297 Issued in FL

Practice address

17597 Rockefeller Cir
Suite 2
Fort Myers, FL 33967-5802

Phone

(239) 267-0887

Fax

(239) 267-0823

NPI assigned

Jan 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295222400000",
    "number": "1164727558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17597 ROCKEFELLER CIR",
            "address_2": "SUITE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339675802",
            "telephone_number": "239-267-0887",
            "fax_number": "239-267-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17597 ROCKEFELLER CIR",
            "address_2": "SUITE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339675802",
            "telephone_number": "239-267-0887",
            "fax_number": "239-267-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDHAM",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "SS0000297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula N Neal, LAT, ATC, CSCS
• Jeffrey Allan Neale, MD
• Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC
• Monica Necula, M.D.
• Katrina Nedley, PH.D., LMFT
• Geoffrey A Negin, MD
• Crystal Negron, RN
• John R Neiner, M.D.
• Fernando A Neira, DDS
• Nelson L Hadler, LLC

• 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 Jan 17, 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.

Verify at the official NPI Registry.