Individual provider Active NPI

Anlinh Thi Bui, PSY.D

  • Clinical Psychologist
  • Fort Myers, FL
National Provider Identifier
1699597617
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
12448 Issued in FL
Practice address
12499 Brantley Commons CT Ste 101
Fort Myers, FL 33907-5694
Phone
(239) 278-3443
Fax
(239) 278-3550
NPI assigned
Oct 30, 2024
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 12448 FL Primary

Addresses

Primary practice location

12499 Brantley Commons CT Ste 101
Fort Myers, FL 33907-5694

Mailing address

12499 Brantley Commons CT Ste 101
Fort Myers, FL 33907-5694
Phone (239) 278-3443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205003582 FL Practitioner - Clinical Psychologist 7214463819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Psychology, PAGroup PAC ID 0840287991, 8 clinicians

Practice addresses (Care Compare)

12499 Brantley Commons CT
Suite 101
Fort Myers, FL 33907-5694
Phone (239) 278-3443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12448FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychology, PA Clinical CurrentSince Nov 20, 2024 Accepting new patients

Locations

12499 Brantley Commons Ct
Fort Myers, FL 33907
Phone (239) 278-3443

12499 Brantley Commons Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 278-3443

5621 Strand Blvd
Ste 201
Naples, FL 34110

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1699597617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12499 BRANTLEY COMMONS CT STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075694",
            "telephone_number": "239-278-3443",
            "fax_number": "239-278-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12499 BRANTLEY COMMONS CT STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075694",
            "telephone_number": "239-278-3443",
            "fax_number": "239-278-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "ANLINH",
        "middle_name": "THI",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "12448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.