Organization Active NPI

Hni Psych Services of Florida, LLC

  • Psychiatry Physician
  • Fort Myers, FL
National Provider Identifier
1841824927
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HNI PSYCH SERVICES OF FLORIDA, LLC
Practice address
13881 Eagle Ridge Dr
Fort Myers, FL 33912-1866
Phone
(239) 561-7700
NPI assigned
Feb 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Scott Klosterman
Title
Cfo
Phone
(512) 730-3060

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Geriatric Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0805X

Addresses

Primary practice location

13881 Eagle Ridge Dr
Fort Myers, FL 33912-1866

Mailing address

30575 Bainbridge Rd
Solon, OH 44139-2221
Phone (440) 542-5000

Other practice location 1

1333 Santa Barbara Blvd
Cape Coral, FL 33991-2803
Phone (239) 772-1333

Other practice location 2

13755 Golf Club Pkwy
Fort Myers, FL 33919-5146
Phone (239) 482-2848

Other practice location 3

2310 N Airport Rd
Fort Myers, FL 33907-1426
Phone (239) 931-8401

Other practice location 4

3735 Evans Ave
Fort Myers, FL 33901-9302
Phone (239) 277-3977

Other practice location 5

9241 Park Royal Dr
Fort Myers, FL 33908-9204
Phone (239) 984-9859

Other practice location 6

3850 Williams Rd
Estero, FL 33928-1921
Phone (239) 495-4000

Other practice location 7

1600 Matthew Dr
Fort Myers, FL 33907-1700
Phone (239) 275-6067

Other practice location 8

2629 Del Prado Blvd S # 574-4434
Cape Coral, FL 33904-5769
Phone (239) 574-4434

Other practice location 9

29910 State Road 56
Wesley Chapel, FL 33543-8800
Phone (813) 973-8567

Other practice location 10

250 Broward Ave
LaBelle, FL 33935-4903
Phone (863) 675-1440

Other practice location 11

3250 Winkler Ave
Fort Myers, FL 33916-9414
Phone (239) 939-4993

Other practice location 12

2826 Cleveland Ave
Fort Myers, FL 33901-6001
Phone (239) 334-1091

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL vitals@hnihc.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1841824927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30575 BAINBRIDGE RD",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392221",
            "telephone_number": "440-542-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13881 EAGLE RIDGE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121866",
            "telephone_number": "239-561-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Santa Barbara Blvd",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339912803",
            "country_code": "US",
            "telephone_number": "239-772-1333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13755 Golf Club Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339195146",
            "country_code": "US",
            "telephone_number": "239-482-2848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2310 N Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339071426",
            "country_code": "US",
            "telephone_number": "239-931-8401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3735 Evans Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339019302",
            "country_code": "US",
            "telephone_number": "239-277-3977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9241 Park Royal Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339089204",
            "country_code": "US",
            "telephone_number": "239-984-9859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3850 Williams Rd",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339281921",
            "country_code": "US",
            "telephone_number": "239-495-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Matthew Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339071700",
            "country_code": "US",
            "telephone_number": "239-275-6067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2629 Del Prado Blvd S # 574-4434",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339045769",
            "country_code": "US",
            "telephone_number": "239-574-4434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29910 State Road 56",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335438800",
            "country_code": "US",
            "telephone_number": "813-973-8567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Broward Ave",
            "address_purpose": "LOCATION",
            "city": "LaBelle",
            "state": "FL",
            "postal_code": "339354903",
            "country_code": "US",
            "telephone_number": "863-675-1440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3250 Winkler Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339169414",
            "country_code": "US",
            "telephone_number": "239-939-4993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2826 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339016001",
            "country_code": "US",
            "telephone_number": "239-334-1091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HNI PSYCH SERVICES OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "KLOSTERMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-730-3060"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "vitals@hnihc.com",
            "affiliation": "N",
            "address_1": "7500 Rialto Blvd Ste 140",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787358531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 23, 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.