TANJA MANI (NPI# 1972756005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972756005 |
Entity Type | Individual |
Full Name | TANJA MANI |
Credential | PHD |
Practice Address |
12600 Creekside Ln Suite 6 Fort Myers FL 33919 |
Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
Practice Telephone | 2393439219 |
Practice Fax Number | 2393439218 |
Mailing Telephone | 2393439220 |
Mailing Fax Number | 2393439231 |
Enumeration Date | 2008-11-03 |
Last Update Date | 2020-09-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | PY7833 | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 105805000 | 05 |
Street Address |
12600 CREEKSIDE LN SUITE 6 |
City | FORT MYERS |
State | FL |
Zip Code | 33919 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902898471 | Michael P. Shain | Psychologist | 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919 | 2005-08-19 |
1063834653 | Tyson Hutchison | Nurse Practitioner | 12600 Creekside Ln, Suite 6, Fort Myers, FL 33919 | 2014-01-16 |
1598044745 | Cristina Maria Larrazaleta Fajardo | Internal Medicine | 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 | 2011-08-05 |
1760791107 | Amie Nichole Peterson | Nurse Practitioner | 12600 Creekside Ln, Suite 6, Fort Myers, FL 33919-3353 | 2010-10-04 |
1457551400 | Neurology Associates of Lee County | Specialist | 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 | 2007-07-18 |
1003970336 | Denise M Mcpherson | Nurse Practitioner | 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 | 2006-12-21 |
1568415438 | Cathleen L Zerbe | Nurse Practitioner | 12600 Creekside Ln, Suite 6, Fort Myers, FL 33919-3353 | 2006-05-19 |
1669425732 | Mary Lewis | Nurse Practitioner | 12600 Creekside Ln, Suite 6, Fort Myers, FL 33919-3353 | 2006-05-18 |
1437146339 | Judith Petrin | Clinical Nurse Specialist | 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 | 2005-10-05 |
1649263724 | Lmr Imaging | Radiology | 12600 Creekside Ln, Fort Myers, FL 33919-3353 | 2005-08-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
Find all providers in zip 33919 |
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 |
1013460823 | Marisa Bermudez | Psychologist | 12499 Brantley Commons Ct Ste 101, Fort Myers, FL 33907-5694 | 2016-07-27 |
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 |
Find all providers in FORT MYERS |
City | FORT MYERS |
Zip Code | 33919 |
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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.