Active NPI
Danielle Dance, PH.D.
- Clinical Psychologist
- Fort Myers, FL
National Provider Identifier
1679028211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9614
- Practice address
- 13565 American Colony Blvd
Fort Myers, FL 33912-5681 - Phone
- (470) 779-7709
- NPI assigned
- Aug 24, 2016
- Last updated
- Jan 11, 2017
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 9614 | FL | Primary |
Addresses
Primary practice location
13565 American Colony Blvd
Fort Myers, FL 33912-5681
Mailing address
5837 Brickell Dr
North Port, FL 34286-3501
Phone (954) 235-9277
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9614 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1679028211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5837 BRICKELL DR",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342863501",
"telephone_number": "954-235-9277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13565 AMERICAN COLONY BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339125681",
"telephone_number": "470-779-7709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANCE",
"first_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-24",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "9614",
"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 Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.