Kimberly Cavanagh

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

Practice address

4085 Hancock Bridge Pkwy Ste 101
Fort Myers, FL 33903-7220

Phone

(239) 677-3767

NPI assigned

May 31, 2018

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1326530841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 MAIN ST",
            "city": "SANIBEL",
            "state": "FL",
            "postal_code": "339574531",
            "telephone_number": "239-849-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 HANCOCK BRIDGE PKWY STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339037220",
            "telephone_number": "239-677-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAGH",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christina Cavanagh, MD
• Rebecca Lynn Cavanagh
• Nikia Cavanaugh
• Chase Tyler Cavayero, D.O
• CD Psychological Practice, PA
• CDS Care & Support

• Adult Development & Aging Psychologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Adult Development & Aging Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.