Organization Active NPI

Sleep Management Centers LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Fort Myers, FL
National Provider Identifier
1457458077
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
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

Updated by the provider on Jun 2, 2011

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)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0402X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.