Active NPI
Michelle Lee Bancroft, PH.D.
- Clinical Psychologist
- Naples, FL
National Provider Identifier
1891933149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY11831
- Practice address
- 400 Goodlette Rd
Naples, FL 34102-5840 - Phone
- (239) 299-8088
- NPI assigned
- Jan 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT 2329 | FL | |
| Clinical Psychologist | 103TC0700X | PY11831 | FL | Primary |
Addresses
Primary practice location
400 Goodlette Rd
Naples, FL 34102-5840
Mailing address
400 Goodlette Rd
Naples, FL 34102-5840
Phone (239) 299-8088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY11831 | FL | MD | Clinical Psychologist |
| MT 2329 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1891933149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 GOODLETTE RD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025840",
"telephone_number": "239-299-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 GOODLETTE RD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025840",
"telephone_number": "239-299-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANCROFT",
"first_name": "MICHELLE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-25",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT 2329",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY11831",
"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 Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.