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Dr. Alex Roberts , PhD

Psychologist β€’ Estero, FL

Active NPI 1558947887 Individual Practitioner Male Practitioner
Practice location in NPPES

3501 Health Center Blvd Ste 2190
Estero, FL 341358133

Call 2394680300 Location details and other listings
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This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3501 Health Center Blvd Ste 2190

Estero, FL 341358133

Telephone 2394680300
Fax 2393434257
Organization at the Same NPPES Address or Phone
Lee Memorial Health System Facility NPI 1851028823

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Fort Myers, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Estero and Florida

6 active clinicians are listed under Psychologist with a practice address in Estero, FL (2,204 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-12-27
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES FL PY11278

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.

Psychologist

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MD 06419

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
112105100 (FL)

Secondary Practice Locations

15901 Bass Rd Ste 108

Fort Myers, FL 339083838

Phone: 2393436050

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location September 14, 2022

Registered at 3501 HEALTH CENTER BLVD STE 2190, ESTERO, FL 341358133 (Tel: 2394680300)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2022

Psychologist (license number reported to NPPES: MD 06419)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2021

Psychologist (license number reported to NPPES: FL PY11278)

πŸ“
Updated Practice Location November 02, 2021

Registered at 15901 BASS RD STE 108, FORT MYERS, FL 339083838 (Tel: 2393436050)

πŸ“
Updated Business Mailing Address November 02, 2021

Registered at PO BOX 2147, FORT MYERS, FL 339022147 (Tel: 2393436050)

βœ…
NPI Profile Active March 30, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 30, 2021

Registered at 1708 W ROGERS AVE, BALTIMORE, MD 212094596 (Tel: 4105788600)

πŸ“
Business Mailing Address (Initial Record) March 30, 2021

Registered at 1708 W ROGERS AVE, BALTIMORE, MD 212094545 (Tel: 4105788600)

πŸ‘€
Provider Name / Credentials (Initial Record) March 30, 2021

Recorded as ALEX ROBERTS, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2021

Psychologist (license number reported to NPPES: MD 06419)

🟒
Initial NPI Registration & Enumeration March 18, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558947887
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2021
Last Update: December 27, 2023
Sole Proprietor: No

Mailing Address

Po Box 2147

Fort Myers, FL 339022147

Phone: 2394680300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.