TANJA MANI


Address: 12600 Creekside Ln, Suite 6, Fort Myers, FL 33919
Phone: 2393439219

TANJA MANI (NPI# 1972756005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PY7833 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 105805000 05

Office Location

Street Address 12600 CREEKSIDE LN
SUITE 6
City FORT MYERS
State FL
Zip Code 33919

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City FORT MYERS
Zip Code 33919

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Dataset Information

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.

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