Active NPIIndividual providerSole proprietor

Mr. Matthew G Fortino

Psychologist in Fort Myers, Florida

NPI Number1396296968
Practice location
8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905-7810
Fax
239-343-9498
Last updated
February 28, 2025

Matthew G Fortino is a Psychologist based in Fort Myers, FL. Matthew G Fortino practices in Fort Myers, FL. The NPI Number for Matthew G Fortino is 1396296968 and holds a License No. PY12541 (FL). The current practice location address for Matthew G Fortino is 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905-7810 and can be reached out via phone at 239-343-3831 and via fax at 239-343-9498.

Provider Profile Details

NPI Number
1396296968
Provider Name
Matthew G Fortino
Provider Entity Type
Individual
Gender
Male
Address
8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905-7810
Phone Number
239-343-3831
Fax Number
239-343-9498
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 19, 2016
Last Update Date
February 28, 2025
Certification Date
February 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
8960 Colonial Center Dr Ste 300
Fort Myers, FL 33905-7810
State
Florida
Zip
33905-7810
Phone Number
239-343-3831
Fax Number
239-343-9498
Fort Myers, FL 33905Get directions →

Provider Business Mailing Address Details

Address
Po Box 2147
Fort Myers, FL 33902-2147
City
Fort Myers
State
FL
Zip
33902-2147
Phone Number
239-343-9470
Fax Number
239-343-9498

License Information

License Number (1)
PY12541
License State (1)
FL
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
PY12541
License State (2)
FL
Taxonomy (2)
Psychologist · 103T00000X · Primary
Taxonomy (3)
Counselor · 101Y00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Matthew G Fortino?

The NPI number of Mr. Matthew G Fortino is 1396296968. It was assigned on October 19, 2016 and is currently active in the NPPES registry.

What is the specialty of Mr. Matthew G Fortino?

Mr. Matthew G Fortino is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in FL under license number PY12541.

Where does Mr. Matthew G Fortino practice?

The practice location is 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905-7810. The office can be reached at 239-343-3831 (phone) or 239-343-9498 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396296968 directly on the NPPES registry website.

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