Organization Active NPI

TMS and Ketamine Clinic of SW Florida LLC

  • Psychiatry Physician
  • Fort Myers, FL
National Provider Identifier
1326822123
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TMS AND KETAMINE CLINIC OF SW FLORIDA LLC
Practice address
6700 Winkler Rd Ste 8
Fort Myers, FL 33919-7237
Phone
(239) 935-5599
Fax
(239) 313-5614
NPI assigned
Aug 22, 2023
Last updated
Aug 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Dr. Zaheer Aslam, MDNPI 1609950468
Title
Owner
Phone
(239) 935-5599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

6700 Winkler Rd Ste 8
Fort Myers, FL 33919-7237

Mailing address

6700 Winkler Rd Ste 8
Fort Myers, FL 33919-7237
Phone (239) 935-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231005001346 FL Part B Supplier - Clinic/Group Practice 7719332188 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

6700 Winkler Rd
Ste 8
Fort Myers, FL 33919
Phone (239) 935-5599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1326822123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WINKLER RD STE 8",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197237",
            "telephone_number": "239-935-5599",
            "fax_number": "239-313-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 WINKLER RD STE 8",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197237",
            "telephone_number": "239-935-5599",
            "fax_number": "239-313-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMS AND KETAMINE CLINIC OF SW FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "ASLAM",
        "authorized_official_first_name": "ZAHEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-935-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_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 Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.