Active NPI
Emily B. McNally, PHD
- Psychologist
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00302300
- Practice address
- 12791 World Plaza LN BLDG 89
Fort Myers, FL 33907-3989 - Phone
- (239) 829-5494
- NPI assigned
- Jan 24, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00302300 | NJ | Primary |
Addresses
Primary practice location
12791 World Plaza LN BLDG 89
Fort Myers, FL 33907-3989
Mailing address
3332 Amelia Run Way
Fort Myers, FL 33917-7122
Phone (239) 543-8194
Other practice location 1
3332 Amelia Run Way
Fort Myers, FL 33917-7122
Phone (239) 543-8194
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12791 World Plaza LN
BLDG 89
Fort Myers, FL 33907-3989
Phone (239) 829-5494
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00302300 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Myers Psychology, PA | Current | Accepting new patients |
Locations
15950 McGregor Blvd
Fort Myers, FL 33908
Phone (239) 454-1277
12791 World Plaza Ln
Bldg 89
Fort Myers, FL 33907
Phone (239) 247-1756
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Fort Myers, FL
- NPI 1003028119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1801034145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3332 AMELIA RUN WAY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339177122",
"telephone_number": "239-543-8194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12791 WORLD PLAZA LN BLDG 89",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073989",
"telephone_number": "239-829-5494"
}
],
"practiceLocations": [
{
"address_1": "3332 Amelia Run Way",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339177122",
"country_code": "US",
"telephone_number": "239-543-8194",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNALLY",
"first_name": "EMILY",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-24",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00302300",
"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 Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.