John Michael Poirier PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0005547 Issued in FL

Legal business name

JOHN MICHAEL POIRIER PA

Practice address

1364 Alcazar Ave
Fort Myers, FL 33901-6617

Phone

(239) 332-4293

Fax

(239) 332-4297

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Michael Poirier, PH.D.

Title

President

Phone

(239) 332-4293

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1295997971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 07283",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339190283",
            "telephone_number": "239-332-4293",
            "fax_number": "239-332-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 ALCAZAR AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339016617",
            "telephone_number": "239-332-4293",
            "fax_number": "239-332-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MICHAEL POIRIER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "POIRIER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-332-4293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0005547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.