Campos and Campos Therapy Group, 'LLC'

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

CAMPOS AND CAMPOS THERAPY GROUP, 'LLC'

Practice address

8359 Beacon Blvd Ste 417
Fort Myers, FL 33907-3065

Phone

(786) 612-7186

NPI assigned

Jul 22, 2021

Organization subpart

No

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

Authorized official

Name

Alex CamposNPI 1578058483

Title

Ceo

Phone

(786) 612-7186

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Alex Campos

  • Behavior Analyst
  • Hialeah, FL
  • NPI 1578058483
  NPD Authorized official

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1851964233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8359 BEACON BLVD STE 417",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8359 BEACON BLVD STE 417",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073065",
            "telephone_number": "786-612-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPOS AND CAMPOS THERAPY GROUP, 'LLC'",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-612-7186"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheresa Ketron Campbell, APRN
• Susan Gail Campbell
• Taylor Campbell, PA-C
• Vickie A Campbell, CCC-CLP
• Jennifer Campestrini
• Damaris Campos-Santiesteban
• Yamislaide Campos, APRN
• Can Community Health, Inc.
• Krystal Zue Canales Crespo
• Sharon Teresa Candelario

• All providers in Fort Myers, FL
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.