| Pooja Shastri, Psy.d., P.a. | |
|
13430 Parker Commons Blvd Ste 101 Fort Myers FL 33912-1812 | |
| (239) 561-9955 | |
| (239) 561-9779 |
| Full Name | Pooja Shastri, Psy.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 13430 Parker Commons Blvd Ste 101, Fort Myers, Florida |
| Authorized Official Name and Position | Pooja Shastri (PRESIDENT) |
| Authorized Official Contact | 7736772170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pooja Shastri, Psy.d., P.a. 3606 Treasure Cove Cir Naples FL 34114-3983 Ph: () - | Pooja Shastri, Psy.d., P.a. 13430 Parker Commons Blvd Ste 101 Fort Myers FL 33912-1812 Ph: (239) 561-9955 |
| NPI Number | 1891334157 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 01/03/2020 |
| Certification Date | 01/03/2020 |
| Medicare PECOS PAC ID | 4082043534 |
|---|---|
| Medicare Enrollment ID | O20200403000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891334157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Pooja S Shastri |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932656899 PECOS PAC ID: 9638450307 Enrollment ID: I20170111003604 |
D J Koehn Consulting Services Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8359 Beacon Blvd Ste 301, Fort Myers, FL 33907 Phone: 571-309-7993 Fax: 800-387-5701 | |
Hope Community Wellness Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6238 Presidential Ct # Crt 7/8, Fort Myers, FL 33919 Phone: 863-233-9190 | |
Health Planning Council Of Southwest Florida, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8961 Daniels Center Dr Ste 401, Fort Myers, FL 33912 Phone: 239-433-6700 | |
Nest Academy & Therapy Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4755 Summerlin Rd Ste 4, Fort Myers, FL 33919 Phone: 786-382-5779 | |
Gables Rehab Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3049 Cleveland Ave Ste 145, Fort Myers, FL 33901 Phone: 786-641-1312 |