DR. KENNETH K GREENWOOD (NPI# 1275637951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275637951 |
| Entity Type | Individual |
| Full Name | DR. KENNETH K GREENWOOD |
| Credential | MD |
| Practice Address |
951 Pondella Rd Coastal Behavioral Healthcare North Fort Myers FL 33903-3532 |
| Practice Telephone | 2396563461 |
| Practice Fax Number | 2396563462 |
| Mailing Telephone | 2396563461 |
| Mailing Fax Number | 2396563462 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2016-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
29687 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VALUEOPTIONS GROUP | 334969 | 01 | |
| INITIAL GROUP | 620582605 | 01 | |
| CIGNA MCC | 1013306 | 01 | |
| CARITEN PHP POS | 620582605 | 01 | |
| CARITEN PHP HMO | 620582605 | 01 | |
| HIGHLANDS WELLMONT | 620582605 | 01 | |
| BEECH STREET | 620582605 | 01 | |
| MENTAL HEALTH NETW | 620582605 | 01 | |
| MAGELLAN NAVIGATOR | 3085173 | 01 | |
| UBH JOHN DEERE | 620582605W5 | 01 | |
| VA | 0100725315 EAST | 05 | |
| UBH HEALTHPLAN | 107340 | 01 | |
| MAGELLAN PINNACLE | 3085173 | 01 | |
| CARITEN PHP PPO | 620582605 | 01 | |
| MAGELLAN SUMMIT | 3085173 | 01 | |
| PHCS | 620582605 | 01 | |
| CORPHEALTH | 620582605 | 01 |
| Street Address |
951 PONDELLA RD COASTAL BEHAVIORAL HEALTHCARE |
| City | NORTH FORT MYERS |
| State | FL |
| Zip Code | 33903-3532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447519749 | Kerrie Linn Meyers | Counselor | 951 Pondella Rd, North Fort Myers, FL 33903-3532 | 2012-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194376590 | Tls Consulting, LLC | Community/Behavioral Health | 13971 N. Cleveland Avenue #9, North Fort Myers, FL 33903 | 2019-09-26 |
| 1710537857 | Mariel Hernandez | Nurse Practitioner | 16251 N Cleveland Ave Ste 12, North Fort Myers, FL 33903 | 2019-09-19 |
| 1003308644 | Brandon Paige | Behavior Technician | 4085 Hancock Bridge Pkwy Unit 101, North Fort Myers, FL 33903 | 2018-05-30 |
| 1386176253 | Annette Porter | Clinic/Center | 995 Pondella Rd., North Fort Myers, FL 33903 | 2017-03-30 |
| 1972873883 | Apinya Suppatkul | Pharmacist | 17050 N Tamiami Trl, Fort Myers, FL 33903 | 2012-01-09 |
| 1932340536 | Jessica Winter Poe | Dentist | 19001north Tamiami Trail, Suite #3171, North Fort Myers, FL 33903 | 2009-03-12 |
| 1710127055 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 13240 N. Cleveland Ave., Suite 12, North Ft. Myers, FL 33903 | 2009-02-26 |
| 1013031038 | Mark B. Gorby | Dentist | 14731 N. Cleveland Ave., Suite 1 Community Dental Care, N. Fort Myers, FL 33903 | 2007-03-16 |
| 1285704882 | Jon L. Rauch | Dentist | 19001 N. Tamiami Trail, N. Ft Myers, FL 33903 | 2006-11-09 |
| 1639254188 | Paradise Medical Center | Pediatrics | 1890 North Tamiami Trail, #d2, North Fort Myers, FL 33903 | 2006-10-25 |
| Find all providers in zip 33903 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031447 | Jorge Wilfrido Avila | Psychiatry & Neurology | 118 Emerald Key Ln., Palm Beach Gardens, FL 33418 | 2020-10-20 |
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1871108308 | Mrs Psychiatry | Psychiatry & Neurology | 5750 Collins Ave Apt 14g, Miami Beach, FL 33140-2328 | 2020-09-11 |
| 1477166106 | Hamlet R Hassan Md Pa | Psychiatry & Neurology | 10511 N Kendall Dr Ste C201, Miami, FL 33176-1580 | 2020-08-24 |
| 1841818952 | Sunshine, Lollipops and Rainbows, LLC | Psychiatry & Neurology | 415 E Main St Ste 204, Bartow, FL 33830-4703 | 2020-07-07 |
| 1710500111 | Telehealth Physician Services, LLC | Psychiatry & Neurology | 33920 Us Highway 19 N Ste 340, Palm Harbor, FL 34684-2670 | 2020-05-20 |
| 1508488545 | Success Tms North Florida, LLC | Psychiatry & Neurology | 350 Corporate Way Ste 100, Orange Park, FL 32073-2853 | 2020-05-13 |
| 1548882970 | Thrive Recovery Inc | Psychiatry & Neurology | 5210 S University Dr Ste 105, Davie, FL 33328-5315 | 2020-05-07 |
| 1821628561 | Devin Jorge Santiago | Psychiatry & Neurology | 725 Primera Blvd Computer Lab, Lake Mary, FL 33578 | 2020-01-22 |
| 1821638909 | Sara Christina Beal | Psychiatry & Neurology | 17945 Hunting Bow Cir Ste 102, Lutz, FL 33558-5376 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
| City | NORTH FORT MYERS |
| Zip Code | 33903 |
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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.