Impact for Developmental Education, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

IMPACT FOR DEVELOPMENTAL EDUCATION, INC

Practice address

1650 Medical Lane Suite 4
Fort Myers, FL 33907-1116

Phone

(239) 334-6160

Fax

(239) 334-1339

NPI assigned

Sep 28, 2022

Organization subpart

No

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

Authorized official

Name

Maxine Gibbs

Title

Executive Director

Phone

(239) 628-1061

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Impact for Developmental Education Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Impact for Developmental Education, Inc

  • Developmental Therapist
  • Fort Myers, FL
  • NPI 1427946326
  NPD tax ID
• Impact for Developmental Education, Inc

  • Early Intervention Provider Agency
  • Fort Myers, FL
  • NPI 1760525539
  NPD tax ID

Locations

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1386368801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 MEDICAL LN STE 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071116",
            "telephone_number": "239-628-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 MEDICAL LANE SUITE 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071116",
            "telephone_number": "239-334-6160",
            "fax_number": "239-334-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT FOR DEVELOPMENTAL EDUCATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "239-628-1061"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105037500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imaging Health Solution LLC
• Howard M Imanuel, DPM
• Yvon Imbert
• Imc FL
• Imc-Heartway, L.L.C. (Heartway USA)
• Impact for Developmental Education, Inc
• Impact for Developmental Education, Inc
• In a Blink Eye Care Inc
• In God Hands, Inc
• In Home Health, LLC.

• Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.