DR. JEFF NEAL MELVIN (NPI# 1144232885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144232885 |
| Entity Type | Individual |
| Full Name | DR. JEFF NEAL MELVIN |
| Credential | PH.D. |
| Practice Address |
13670 Metropolis Ave Suite 101 Fort Myers FL 33912-4346 |
| Mailing Address |
13670 Metropolis Ave Suite 100 Fort Myers FL 33912-4346 |
| Practice Telephone | 2399101534 |
| Mailing Telephone | 2399101534 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2014-09-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY9023 | FL | Behavioral Health & Social Service Providers |
| Street Address |
13670 METROPOLIS AVE SUITE 101 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330114 | Denise D Allen | Occupational Therapist | 13670 Metropolis Ave, Suite 103, Fort Myers, FL 33912-4346 | 2005-07-21 |
| 1689117046 | Lucas Witmer | Physical Therapist | 13670 Metropolis Ave, Suite 103, Fort Myers, FL 33912-4346 | 2016-12-02 |
| 1427466374 | Meredith Harris LLC | Social Worker | 13670 Metropolis Ave, 101, Fort Myers, FL 33912-4346 | 2014-07-23 |
| 1679899496 | Sports Specialty & Rehabilitation Center Inc | Occupational Therapist | 13670 Metropolis Ave, Suite 103, Fort Myers, FL 33912-4346 | 2010-04-19 |
| 1538310693 | Todd Michael Santore | Physical Therapist | 13670 Metropolis Ave, Suite 103, Fort Myers, FL 33912-4346 | 2008-10-08 |
| 1548425580 | Robert B Pritt Do Pa | Family Medicine | 13670 Metropolis Ave, Suite 104, Fort Myers, FL 33912-4346 | 2008-07-18 |
| 1194868976 | Denise L Van Horn | Occupational Therapist | 13670 Metropolis Ave, Suite 103, Fort Myers, FL 33912-4346 | 2007-02-14 |
| 1710075163 | Daniel Jacob Bosco | Physical Therapist | 13670 Metropolis Ave, Suite 103, Fort Myers, FL 33912-4346 | 2006-10-11 |
| 1912008509 | Meredith Wheeler Harris | Social Worker | 13670 Metropolis Ave, 101, Fort Myers, FL 33912-4346 | 2006-09-26 |
| 1356353007 | Solutions In Psychology, Inc. | Psychologist | 13670 Metropolis Ave, Suite 100, Fort Myers, FL 33912-4346 | 2006-08-12 |
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|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740633296 | Marissa Kushner | Psychologist | 12791 World Plaza Ln, Bldg 89, Fort Myers, FL 33907-3989 | 2016-07-20 |
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| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1447765631 | Cristina Anderson | Psychologist | 3081 Salzedo St Ste 202, Coral Gables, FL 33134-6725 | 2017-12-10 |
| 1073028734 | Audra Walsh, Phd, LLC | Psychologist | 1039 Park St N, St Petersburg, FL 33710-4317 | 2017-12-04 |
| 1801327564 | Paola Granados-radlick | Psychologist | 1200 Brickell Ave Ste 850, Miami, FL 33131-3212 | 2017-03-24 |
| 1205388527 | Safe Landing, Inc | Psychologist | 9200 Nw 8th Ave, Miami, FL 33150-2016 | 2016-11-03 |
| 1124574595 | Michelle C Fernandez | Psychologist | 7800 Sw 57th Avenue Suite 114, South Miami, FL 33143 | 2016-08-26 |
| 1952764060 | Penelope L. Norton, Phd | Psychologist | 555 W Granada Blvd Ste E3, Ormond Beach, FL 32174-9401 | 2016-04-05 |
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| City | FORT MYERS |
| Zip Code | 33912 |
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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.