DR. MARISA BERMUDEZ (NPI# 1013460823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013460823 |
| Entity Type | Individual |
| Full Name | DR. MARISA BERMUDEZ |
| Credential | PSYD |
| Practice Address |
12499 Brantley Commons Ct Ste 101 Fort Myers FL 33907-5694 |
| Practice Telephone | 2392783443 |
| Practice Fax Number | 2392783550 |
| Mailing Telephone | 2392783443 |
| Mailing Fax Number | 2392783550 |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY10455 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3700 Sheridan Blvd Ste 1, Lincoln, NE 685066100 | 4024891834 | |
| 5633 Strand Blvd Ste 301b, Naples, FL 341107383 | 2392783443 |
| Street Address |
12499 BRANTLEY COMMONS CT STE 101 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-5694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548815418 | Gravity Psychology | Psychologist | 17595 S Tamiami Trl Ste 208, Fort Myers, FL 33908-4889 | 2019-08-07 |
| 1033467964 | Pasquale Angelo Capozzoli | Psychologist | 4301 Veronica S Shoemaker Blvd, Suite B, Fort Myers, FL 33916-2216 | 2012-08-27 |
| 1164727558 | Christine Marie Needham | Psychologist | 17597 Rockefeller Cir, Suite 2, Fort Myers, FL 33967-5802 | 2011-01-17 |
| 1720393705 | Sheba Paivandy Katz | Psychologist | 12791 World Plaza Ln, Bldg. #89, Fort Myers, FL 33907-3989 | 2010-08-13 |
| 1720211014 | Linda B Flaherty | Psychologist | 4616 Flagship Dr, #102, Fort Myers, FL 33919-4580 | 2009-09-02 |
| 1801034145 | Emily B. Mcnally | Psychologist | 3332 Amelia Run Way, Fort Myers, FL 33917-7122 | 2009-01-24 |
| 1356539175 | Susan R King Psyd Pa | Psychologist | 5245 Ramsey Way Ste 1, Fort Myers, FL 33907-2124 | 2007-10-05 |
| 1336266444 | Christine Marie Dibenedetto | Psychologist | 14200 Royal Harbour Ct, Unit 505, Fort Myers, FL 33908-6505 | 2007-03-23 |
| 1285767996 | Rhonda Elaine Gage | Psychologist | 3816 Maxine St, Fort Myers, FL 33901-8523 | 2007-03-13 |
| 1326186917 | Marie-veronique Jeanne Yvette Bonvie | Psychologist | 7309 Sean Ln, Fort Myers, FL 33917-3322 | 2007-02-03 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.