Axel Bouchard (NPI# 1962889139, PAC ID# 2365705761) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1962889139 |
| PAC ID by PECOS | 2365705761 |
| Professional Enrollment ID | I20190807000085 |
| Full Name | Axel Bouchard |
| Organization Legal Name | REFRESH CANOPY COVE, INC |
| Address |
13099 S Cleveland Ave 300 Comprehensive Medpsych Fort Myers FL 33907-3835 |
| Phone Number | 2399361336 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 3779822119 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13099 S Cleveland Ave, 300 Comprehensive Medpsych, Fort Myers, FL 33907-3835 | 2399361336 | REFRESH CANOPY COVE, INC |
| 1090 S Tamiami Trl, Sarasota, FL 34236-9116 | 9413630878 | REFRESH CANOPY COVE, INC |
| Organization Legal Name | REFRESH CANOPY COVE, INC |
| Physicians | 67 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dustin R Harrison | Psychiatry | Refresh Canopy Cove, Inc | 7540 Cipriano Ct, Suite B, Fairhope, AL 36532-3029 |
| Kayla Jane Davidson | Psychiatry | Refresh Canopy Cove, Inc | 5251 Emerson St, Comprehensive Medpsych, Jacksonville, FL 32207-4932 |
| Michael H Leblond | Psychologist, Clinical | Refresh Canopy Cove, Inc | 6320 Venture Dr, Suite 203, Lakewood Ranch, FL 34202-5132 |
| Justin M Simpson | Psychologist, Clinical | Refresh Canopy Cove, Inc | 1300 Marsh Landing Pkwy, Suite 112, Jacksonville Beach, FL 32250-2407 |
| Karola Thurman | Clinical Social Worker | Refresh Canopy Cove, Inc | 1100 S Ponce De Leon Blvd, 1 Comprehensive Medpsych Systems, St Augustine, FL 32084-6013 |
| Judi Mcinerney | Psychologist, Clinical | Refresh Canopy Cove, Inc | 13099 S Cleveland Ave, 300 Comprehensive Medpsych, Fort Myers, FL 33907-3835 |
| Angela Gibson | Clinical Social Worker | Refresh Canopy Cove, Inc | 1090 S Tamiami Trl, Sarasota, FL 34236-9116 |
| Dale G Simpson | Psychologist, Clinical | Refresh Canopy Cove, Inc | 871 Venetia Bay Blvd, Suite 310, Venice, FL 34285-8054 |
| Christine Holmes | Clinical Social Worker | Refresh Canopy Cove, Inc | 1110 Montlimar Dr, Suite 500, Mobile, AL 36609-1794 |
| Jacqueline D Boutrouille | Psychiatry | Refresh Canopy Cove, Inc | 7880 N University Dr, 303 Comprehensive Medpsych Systems, Tamarac, FL 33321-2124 |
| Street Address |
13099 S CLEVELAND AVE 300 COMPREHENSIVE MEDPSYCH |
| City | FORT MYERS |
| State | FL |
| Zip | 33907-3835 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judi Mcinerney | Psychologist, Clinical | Refresh Canopy Cove, Inc | 13099 S Cleveland Ave, 300 Comprehensive Medpsych, Fort Myers, FL 33907-3835 |
| Keegan R Culver | Psychologist, Clinical | Refresh Canopy Cove, Inc | 13099 S Cleveland Ave, 300 Comprehensive Medpsych, Fort Myers, FL 33907-3835 |
| Gesenia Sloan-pena | Psychologist, Clinical | Refresh Canopy Cove, Inc | 13099 S Cleveland Ave, 300 Comprehensive Medpsych, Fort Myers, FL 33907-3835 |
| Daniel Kretchman | Psychologist, Clinical | Refresh Canopy Cove, Inc | 13099 S Cleveland Ave, 300 Comprehensive Medpsych, Fort Myers, FL 33907-3835 |
| Martha E Wisbey | Clinical Social Worker | Comprehensive Medpsych Systems, Inc. | 13099 S Cleveland Ave, Suite 500, Fort Myers, FL 33907-3869 |
| Kristina Winchell-barrile | Clinical Psychologist | Comprehensive Medpsych Systems, Inc. | 13099 S Cleveland Ave, Suite 500, Fort Myers, FL 33907-3869 |
| Guido F Nodal Jr. | Geriatric Psychiatry | Comprehensive Medpsych Systems, Inc. | 13099 S Cleveland Ave, Suite 500, Fort Myers, FL 33907-3869 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott C Senne | Chiropractic | 13550 Reflection Lakes, Suite 504, Fort Myers, FL 33907 | |
| Mark A Lokitus | Psychiatry | Key W Professional Ctr 1342 Colonial Blvd, Building K Suite 102, Fort Myers, FL 33907-1011 | |
| Linda J Bunck | Clinical Social Worker | 1342 Colonial Blvd, Suite K119, Fort Myers, FL 33907-1012 | |
| Jose C Vasconcellos | Chiropractic | 1570 Colonial Blvd B, Fort Myers, FL 33907-1031 | |
| Helene B Shute | Clinical Social Worker | 1342 Colonial Blvd, B909, Fort Myers, FL 33907-1038 | |
| Bradley W Price | Chiropractic | 1429 Colonial Blvd, Suite 101, Fort Myers, FL 33907-1060 | |
| George E Bandli Iii | Chiropractic | 1615 Colonial Blvd, Fort Myers, FL 33907-1101 | |
| Bradford J Yaeger | Chiropractic | 1615 Colonial Blvd, Fort Myers, FL 33907-1101 | |
| Mary Ann Rocco | Clinical Social Worker | Omar Rieche Md Pa | 1705 Colonial Blvd, B1, Fort Myers, FL 33907-1141 |
| Victor J Drobnic | Chiropractic | 1646 Colonial Blvd, Suite 1, Fort Myers, FL 33907-1154 | |
| Find all physicians in zip 33907 | |||
| City | FORT MYERS |
| Zip Code | 33907 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | FORT MYERS + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Axel Bouchard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.