Organization Active NPI

Behavioral Medicine Associates of SW Florida PA

  • Psychiatry Physician
  • Naples, FL
National Provider Identifier
1831297704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 0055928 Issued in FL
Legal business name
BEHAVIORAL MEDICINE ASSOCIATES OF SW FLORIDA PA
Practice address
700 2ND Ave N
Suite 302
Naples, FL 34102-5756
Phone
(239) 261-8188
Fax
(239) 261-9144
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeffrey E Fabacher, M.D.NPI 1376634972
Title
Owner
Phone
(239) 261-8188

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME 0055928 FL Primary

Addresses

Primary practice location

700 2ND Ave N
Suite 302
Naples, FL 34102-5756

Mailing address

700 2ND Ave N
Suite 302
Naples, FL 34102-5756
Phone (239) 261-8188

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831297704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 2ND AVE N",
            "address_2": "SUITE 302",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025756",
            "telephone_number": "239-261-8188",
            "fax_number": "239-261-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 2ND AVE N",
            "address_2": "SUITE 302",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025756",
            "telephone_number": "239-261-8188",
            "fax_number": "239-261-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MEDICINE ASSOCIATES OF SW FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FABACHER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-261-8188",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME  0055928",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.