Nicholas Fadoir

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810008195 Issued in VA

Practice address

2489 Diplomat Pkwy E
Cape Coral, FL 33909-5422

Phone

(239) 652-1800

NPI assigned

Jul 20, 2023

Last updated

Jul 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fadoir Psychological Services, LLC

  • Clinical Psychologist
  • Fort Myers, FL
  • NPI 1548125529
  NPD Authorized official
• Bay Pines Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Cape Coral, FL
  • NPI 1003874942
  NPD

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1689354177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 MARAVILLA AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339016857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 DIPLOMAT PKWY E",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339095422",
            "telephone_number": "239-652-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADOIR",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Associates of Manatee LLP
• Eye Site of Cape Coral PA (Cataract & Refractive Institute of Florida)
• Eyecare Associates of Southwest Florida, PLLC
• Jessica Fabian
• Maria C Fabregas Suarez
• Ana Rita Falcon, RBT-20-124760
• Justina J Falcone, MSCCC-SLP
• Family & Cosmetic Dentistry (Brett Vartdal)
• Family Business
• Family Care 1 LLC

• Clinical Psychologist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.