David G Kelley, D.MIN.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT0000494 Issued in FL

Practice address

1950 Courtney Dr
Suite # 2
Fort Myers, FL 33901-9034

Phone

(239) 278-3231

Fax

(239) 278-4227

NPI assigned

May 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• David S. Geiser, PH.D., P.a.

  • Clinical Neuropsychologist
  • Fort Myers, FL
  • NPI 1861559346
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669688644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 COURTNEY DRIVE",
            "address_2": "SUITE # 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33901",
            "telephone_number": "239-278-3231",
            "fax_number": "239-278-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 COURTNEY DR",
            "address_2": "SUITE # 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019034",
            "telephone_number": "239-278-3231",
            "fax_number": "239-278-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.MIN.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT0000494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joni Renee Kellams
• Kelleen M Linden PHD PA
• John Howard Kellenberger Sr., DC
• Katelyn Keller, DDS
• Nicole W. Keller, PA
• Kenneth Charles Kelley, B.S.
• Linda Kelley, LMHC
• Marcus Kelley, CRNA
• Blane Kelly Jr., MD
• Delaney Kelly, LMHC

• Marriage & Family Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Marriage & Family Therapist in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.