INDIGO PSYCHOLOGICAL SERVICES LLC (NPI# 1346712411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346712411 |
| Entity Type | Organization |
| Organization Name | INDIGO PSYCHOLOGICAL SERVICES LLC |
| Practice Address |
625 111th Ave N Naples FL 34108-1825 |
| Practice Telephone | 3052443458 |
| Enumeration Date | 2018-12-29 |
| Last Update Date | 2018-12-29 |
| Authorized Official Name | DAVID FUENTES (PSYCHOLOGIST / OWNER) |
| Authorized Official Telephone | 3052443458 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
625 111TH AVE N |
| City | NAPLES |
| State | FL |
| Zip Code | 34108-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422262 | Alejandra Herrera Munoz | Occupational Therapist | 646 103rd Ave N, Naples, FL 34108 | 2018-10-08 |
| 1912402983 | Cvs Aoc Services, L.L.C. | Audiologist-Hearing Aid Fitter | 8863h Tamiami Trl N, Naples, FL 34108 | 2018-03-29 |
| 1861886863 | Zounds Hearing | Durable Medical Equipment & Medical Supplies | 9331 Tamiami Trail, Naples, FL 34108 | 2015-03-27 |
| 1750651220 | Dr. Alfonso Olivos, P.a. | Family Medicine | 873 101 Avenue N., Naples, FL 34108 | 2011-12-30 |
| 1083901367 | Gregory Alan Mazur | Podiatrist | 9915 Tamiami Trl N Ste 1, Naples, FL 34108 | 2011-07-07 |
| 1124253398 | G B Fisher IIi Do Pa | Ophthalmology | 875 105 Ave North, Naples, FL 34108 | 2009-05-18 |
| 1134378466 | Susanna Alis | Counselor | 9853 Tamiami Trl N Ste 227c, Naples, FL 34108 | 2008-09-10 |
| 1194995720 | William Nicholas Sullivan | Dentist | 6100 Trail Blvd North, Suite 1, Naples, FL 34108 | 2008-03-11 |
| 1285838219 | John Woolman Cox | Dermatology | 650 Bridgeway Lane, Naples, FL 34108 | 2007-06-13 |
| 1780888263 | Gerald Frank Levens | Family Medicine | 1175 Creekside Pkwy Ste 200, Naples, FL 34108 | 2007-06-11 |
| Find all providers in zip 34108 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672062 | Sarah Palasciano | Psychologist | 2338 Immokalee Rd Ste 237, Naples, FL 34110-1445 | 2020-05-29 |
| 1922544063 | Mind Spa LLC | Psychologist | 6722 Lone Oak Blvd, Naples, FL 34109-6834 | 2017-01-12 |
| 1457793762 | John A. Aragona | Psychologist | 171 Palmetto Dunes Cir, Naples, FL 34113-7561 | 2013-07-28 |
| 1073819363 | Leonard Silverstein | Psychologist | 4216 Inca Dove Ct, Naples, FL 34119-8818 | 2011-02-03 |
| 1093024812 | Carol Renaud Gaffney | Psychologist | 2240 Ashton Oaks Ln Apt 103, Naples, FL 34109 | 2010-09-28 |
| 1316250889 | Andrea Viviana Pellegrini | Psychologist | 3589 Canopy Cir, Suite 190, Naples, FL 34120 | 2010-07-26 |
| 1932399656 | Andrew J Theiss | Psychologist | 4501 Tamiami Trl N, Suite 318, Naples, FL 34103-3060 | 2007-07-30 |
| 1558574301 | Beth Kaplan Sommerfeld | Psychologist | 9915 Tamiami Trl N, Suite 2, Naples, FL 34108-1920 | 2007-05-08 |
| 1962438606 | Terrence P Kimper | Psychologist | 3060 Tamiami Trl N, Suite 202, Naples, FL 34103-2700 | 2006-06-24 |
| 1841237716 | Janice Bartleson | Psychologist | 8827 State Route 21, Naples, NY 14512-9531 | 2006-06-01 |
| Find all providers in NAPLES | ||||
Please comment or provide details below to improve the information on INDIGO PSYCHOLOGICAL SERVICES LLC.
| 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.