Active NPI
Melissa Sue Rosbottom, M.S.
- Marriage & Family Therapist
- Fort Myers, FL
National Provider Identifier
1457499691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT 2034
- Practice address
- 17595 S Tamiami TRL
Ste 200-3
Fort Myers, FL 33908-4570 - Phone
- (239) 451-0087
- Fax
- (239) 225-7774
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT 2034 | FL | Primary |
Addresses
Primary practice location
17595 S Tamiami TRL
Ste 200-3
Fort Myers, FL 33908-4570
Mailing address
662 93Rd Ave N
Naples, FL 34108-2439
Phone (239) 451-0087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT 2034 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457499691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "662 93RD AVE N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341082439",
"telephone_number": "239-451-0087",
"fax_number": "239-225-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17595 S TAMIAMI TRL",
"address_2": "STE 200-3",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084570",
"telephone_number": "239-451-0087",
"fax_number": "239-225-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSBOTTOM",
"first_name": "MELISSA",
"middle_name": "SUE",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT 2034",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.