Individual provider Active NPI

David B Rawlings, PHD

  • Clinical Neuropsychologist
  • Naples, FL
National Provider Identifier
1285636233
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY0004889 Issued in FL
Practice address
720 Goodlette Rd N
Ste 201
Naples, FL 34102-5656
Phone
(239) 430-2303
Fax
(230) 430-2304
NPI assigned
Jun 2, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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 PY0004889 FL Primary

Addresses

Primary practice location

720 Goodlette Rd N
Ste 201
Naples, FL 34102-5656

Mailing address

PO Box 11228
Naples, FL 34101-1228
Phone (239) 430-2303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031120000387 FL Practitioner - Clinical Psychologist 9032023692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Michigan State University College of Human Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Psychology, PAGroup PAC ID 0840287991, 8 clinicians

Practice addresses (Care Compare)

12499 Brantley Commons CT
Suite 101
Fort Myers, FL 33907-5694
Phone (239) 278-3443

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY0004889FLMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychology, PA Clinical Neuropsychologist CurrentSince Jan 1, 2023 Accepting new patients
Collier Neurologic Specialists LLC Past Accepting new patients

Locations

12499 Brantley Commons Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 278-3443

12499 Brantley Commons Ct
Fort Myers, FL 33907
Phone (239) 278-3443

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEGGCD

Organizations & group practices 2

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1285636233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11228",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341011228",
            "telephone_number": "239-430-2303",
            "fax_number": "239-430-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 GOODLETTE RD N",
            "address_2": "STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025656",
            "telephone_number": "239-430-2303",
            "fax_number": "230-430-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLINGS",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2007-10-22",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY0004889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.