Jeffrey E Fabacher, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME 0055928 Issued in FL

Practice address

700 2ND Ave N
Suite 302
Naples, FL 34102-5756

Phone

(239) 261-8188

Fax

(239) 261-9144

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Behavioral Medicine Associates of SW Florida PA

  • Psychiatry Physician
  • Naples, FL
  • NPI 1831297704
  NPD (past) Authorized official
• Jeffrey E. Fabacher

  • Counselor
  • Naples, FL
  • NPI 1053592063
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1376634972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 2ND AVE N",
            "address_2": "SUITE 302",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025756",
            "telephone_number": "239-261-8188",
            "fax_number": "239-261-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 2ND AVE N",
            "address_2": "SUITE 302",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025756",
            "telephone_number": "239-261-8188",
            "fax_number": "239-261-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABACHER",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 0055928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Physicians and Surgeons of Florida
• Eye Physicians and Surgeons of Florida
• Eyeglass World
• Eyemart Express LLC
• Karen Moss Ezrine, M.D.
• Jennifer Ellen Faccioli, ARNP
• Suzette Facey
• Faculty Associates, Inc
• Madisyn Ryann Facundo
• Susan Elizabeth Fagan-Bethea, M.S., SLP

• Psychiatry Physician in Naples, FL
• Providers in Naples, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.