Individual provider Active NPI

Deborah Coe Silver, PSY.D.

  • Clinical Psychologist
  • Fort Myers, FL
National Provider Identifier
1407051360
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3763 Issued in FL
Practice address
11959 Palba Way Apt 6204
Fort Myers, FL 33912-9105
Phone
(239) 822-2397
Fax
(239) 219-6510
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PY3763 FL
Clinical Child & Adolescent Psychologist 103TC2200X PY3763 FL
Family Psychologist 103TF0000X PY3763 FL
Forensic Psychologist 103TF0200X PY3763 FL
School Psychologist 103TS0200X SS321 FL
Clinical Psychologist 103TC0700X PY3763 FL Primary

Addresses

Primary practice location

11959 Palba Way Apt 6204
Fort Myers, FL 33912-9105

Mailing address

6900 Daniels Pkwy Ste 29-240
Fort Myers, FL 33912-7513
Phone (239) 822-2397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY3763FLMDForensic Psychologist
SS321FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert B. Silver, PH.D., P.a. Clinical Past Accepting new patients
Silver Psychology Center, Inc. Clinical Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1407051360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 DANIELS PKWY STE 29-240",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127513",
            "telephone_number": "239-822-2397",
            "fax_number": "239-219-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11959 PALBA WAY APT 6204",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339129105",
            "telephone_number": "239-822-2397",
            "fax_number": "239-219-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVER",
        "first_name": "DEBORAH",
        "middle_name": "COE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY3763",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY3763",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "FL",
            "license": "PY3763",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "PY3763",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS321",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3763",
            "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 Jul 19, 2023; 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.