Active NPI
Sleep Management Centers LLC
- Sleep Medicine (Psychiatry & Neurology) Physician
- Fort Myers, FL
National Provider Identifier
1457458077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- Legal business name
- SLEEP MANAGEMENT CENTERS LLC
- Practice address
- 6350 Techster Blvd Ste 2
Fort Myers, FL 33966-4705 - Phone
- (239) 334-8144
- Fax
- (239) 210-0048
- NPI assigned
- Sep 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Clark, MSW, RPSGT
- Title
- President
- Phone
- (239) 334-8144
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | |||
| Psychiatry Physician | 2084P0800X | |||
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | Primary |
Addresses
Primary practice location
6350 Techster Blvd Ste 2
Fort Myers, FL 33966-4705
Mailing address
6350 Techster Blvd Ste 2
Fort Myers, FL 33966-4705
Phone (239) 334-8144
National Provider Directory
National Provider DirectoryLocations
6350 Techster Blvd
Ste 2
Fort Myers, FL 33966
Phone (239) 334-1337
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Newport Beach, CA
- NPI 1598882599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306972800000",
"number": "1457458077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 TECHSTER BLVD STE 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339664705",
"telephone_number": "239-334-8144",
"fax_number": "239-210-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 TECHSTER BLVD STE 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339664705",
"telephone_number": "239-334-8144",
"fax_number": "239-210-0048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP MANAGEMENT CENTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-17",
"last_updated": "2011-06-02",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-334-8144",
"authorized_official_credential": "MSW, RPSGT"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"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 Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.