Organization Active NPI

Huntingdon Healthcare LLC

  • Psychiatry Physician
  • Fort Myers, FL
National Provider Identifier
1316114192
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HUNTINGDON HEALTHCARE LLC
Practice address
12734 Kenwood LN
Ste. 84
Fort Myers, FL 33907-5666
Phone
(239) 936-5250
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Thomas E. Uttley, M.D.
Title
Medical Director
Phone
(239) 936-5250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

12734 Kenwood LN
Ste. 84
Fort Myers, FL 33907-5666

Mailing address

12734 Kenwood LN
Ste. 84
Fort Myers, FL 33907-5666
Phone (239) 936-5250

National Provider Directory

National Provider Directory

Locations

12734 Kenwood Ln
Ste 84
Fort Myers, FL 33907
Phone (239) 425-2900

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1316114192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12734 KENWOOD LN",
            "address_2": "STE. 84",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075666",
            "telephone_number": "239-936-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12734 KENWOOD LN",
            "address_2": "STE. 84",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075666",
            "telephone_number": "239-936-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGDON HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "UTTLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "239-936-5250",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.