SUNSHINE PSYCHIATRY, LLC (NPI# 1174029664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174029664 |
| Entity Type | Organization |
| Organization Name | SUNSHINE PSYCHIATRY, LLC |
| Practice Address |
13410 Parker Commons Blvd Ste 101 Fort Myers FL 33912-1867 |
| Mailing Address |
11109 Lakeland Circle Fort Myers FL 33913 |
| Practice Telephone | 2392020932 |
| Practice Fax Number | 9495432509 |
| Mailing Telephone | 8142513793 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2019-02-15 |
| Authorized Official Name | MRS. ROSA E SMITH (OWNER/CEO) |
| Authorized Official Telephone | 8142513793 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
SP014025 | FL | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
13410 PARKER COMMONS BLVD STE 101 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-1867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033762075 | Danielle Marie Shields | Counselor | 13410 Parker Commons Blvd Ste 101, Fort Myers, FL 33912-1867 | 2019-07-18 |
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|---|---|---|---|---|
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| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346503968 | Max Health Inc. | Clinic/Center | 15961 Mcgregor Blvd Ste 2, Fort Myers, FL 33908-2556 | 2012-06-19 |
| 1710395744 | Tms Center of Southwest Florida, LLC | Clinic/Center | 6804 Porto Fino Cir Ste 1, Fort Myers, FL 33912-7139 | 2014-07-22 |
| 1255768396 | Saluscare | Clinic/Center | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2013-10-03 |
| 1639438302 | Advanced Psychiatric Care, PC | Clinic/Center | 9400 Gladiolus Dr Ste 340, Fort Myers, FL 33908-9622 | 2012-05-15 |
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| 1285240960 | Telepsych LLC | Clinic/Center | 15 Paradise Plz Ste 270, Sarasota, FL 34239-6905 | 2020-09-18 |
| 1790398030 | Olympic Behavioral Health LLC. | Clinic/Center | 3200 S Congress Ave Ste 101, Boynton Beach, FL 33426-9041 | 2020-08-26 |
| 1184237737 | Adel's Hope LLC | Clinic/Center | 160 Island Beach Blvd, Merritt Is, FL 32952-5016 | 2020-08-24 |
| 1790397479 | Eloy Franco Md LLC | Clinic/Center | 7320 E Fletcher Ave Ste 108, Tampa, FL 33637-0916 | 2020-08-23 |
| 1710597208 | Challenges Conquered Counseling and Consulting, LLC | Clinic/Center | 242 Commercial Blvd Ste C, Lauderdale By The Sea, FL 33308-4496 | 2020-08-09 |
| 1134738990 | Trauma and Transition Services LLC | Clinic/Center | 360 Central Ave Ste 800, St Petersburg, FL 33701-3984 | 2020-07-28 |
| 1629687520 | Frontline Recovery Center, Inc | Clinic/Center | 6503 Sw 19th St, North Lauderdale, FL 33068-4808 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| 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.