Organization Active NPI

Neuroscience Practice Institute PLLC

  • Neurology Physician
  • Naples, FL
National Provider Identifier
1790711356
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROSCIENCE PRACTICE INSTITUTE PLLC
Practice address
1212 Michigan Ave
Naples, FL 34103-3874
Phone
(239) 465-4195
Fax
(239) 330-4951
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Geoffrey W Colino, M.D.NPI 1497722425
Title
Owner/Physician
Phone
(239) 465-4195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1212 Michigan Ave
Naples, FL 34103-3874

Mailing address

1212 Michigan Ave
Naples, FL 34103-3874
Phone (239) 465-4195

Other identifiers 1

IdentifierTypeStateIssuer
271671200MedicaidFL

National Provider Directory

National Provider Directory

Locations

9510 Bonita Beach Rd SE
Ste 102
Bonita Springs, FL 34135
Phone (239) 333-3900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1790711356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 MICHIGAN AVE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033874",
            "telephone_number": "239-465-4195",
            "fax_number": "239-330-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 MICHIGAN AVE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033874",
            "telephone_number": "239-465-4195",
            "fax_number": "239-330-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSCIENCE PRACTICE INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "COLINO",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "239-465-4195",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271671200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.