FORT MYERS PSYCHOLOGY, PA
NPI 1003028119
Psychologist - Clinical in Fort Myers, FL

Active since May 03, 2007
12791 WORLD PLAZA LN BLDG 89, FORT MYERS, FL 33907(239) 829-5494(239) 645-4777 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 16, 2024, Feb 5, 2024 (2 updates tracked since 2024).

About Fort Myers Psychology, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT MYERS PSYCHOLOGY, PA (NPI 1003028119), doing business as Nancy T Spencer Psyd, Pa, is a healthcare organization registered as a clinical in Fort Myers, Florida and active in the NPI registry since May 2007. The organization lists Brenda K Sluder, Office Billing Administrator, as its authorized official.

NPPES Registry Identity

NPI1003028119
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameFORT MYERS PSYCHOLOGY, PA
Location Address12791 WORLD PLAZA LN BLDG 89Fort Myers, FL 33907-3989
Mailing Address8430 Belle Meade DrFort Myers, FL 33908-6009 · (239) 826-7903 · Fax (239) 645-4777
Fax(239) 645-4777
Organization SubpartNo
Authorized OfficialBrenda K SluderOffice Billing Administrator · (239) 887-6004
Enumeration DateMay 3, 2007
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1003028119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
12791 WORLD PLAZA LN BLDG 89, Fort Myers, FL 33907

Other Names 1

Former Legal Business NameNancy T Spencer Psyd, Pa

Other Identifiers 2

Other74129FL · Bcbs Florida
OtherNJ5TQFL · Bcbs-fl Blue

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fort Myers Psychology, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Fort Myers Psychology, PA, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Clinical Psychologist6
Clinical Social Worker4
Mental Health Counselor1

Clinicians, nearest first (11)

Clinical Psychologist
NPI 1700610847
12791 WORLD PLAZA LN BLDG 89
Fort Myers, FL 33907
(630) 956-6332
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1629602156
12791 WORLD PLAZA LN
Fort Myers, FL 33907
(239) 829-5494
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1164821039
12791 WORLD PLAZA LN BLDG 89
Fort Myers, FL 33907
(787) 348-5709
✔ PECOSSame address
Clinical Social Worker
NPI 1407682701
12791 WORLD PLAZA LN BLDG 89
Fort Myers, FL 33907
(239) 829-5494
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1003145384
12791 WORLD PLAZA LN BLDG 89
Fort Myers, FL 33907
(239) 829-5494
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1801034145
12791 WORLD PLAZA LN BLDG 89
Fort Myers, FL 33907
(239) 829-5494
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1073605747
12791 WORLD PLAZA LN BLDG 89
Fort Myers, FL 33907
(239) 826-7903
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1407894017
22904 LYDEN DR STE 104
Estero, FL 33928
(239) 494-3951
✔ PECOS✔ Accepts Medicare11 mi
Clinical Psychologist
NPI 1770660193
11120 S CROWN WAY STE 1
Wellington, FL 33414
(561) 790-1191
✔ PECOS✔ Accepts Medicare103 mi
Clinical Social Worker
NPI 1659352615
585 N BARRY AVE SUITE 2
Mamaroneck, NY 10543
(914) 356-5110
✔ PECOS✔ Accepts Medicare1,096 mi
Clinical Psychologist
NPI 1053336370
1770 25TH AVE STE 206
Greeley, CO 80634
(303) 664-5281
✔ PECOS✔ Accepts Medicare1,620 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fort Myers Psychology, PA's NPI number?

The NPI number for Fort Myers Psychology, PA is 1003028119. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider was formerly known as Nancy T Spencer Psyd, PA.

Where is Fort Myers Psychology, PA located?

Fort Myers Psychology, PA is located at 12791 World Plaza Ln Bldg 89, Fort Myers, FL 33907. The listed phone number is (239) 829-5494.

What is Fort Myers Psychology, PA's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Fort Myers Psychology, PA enrolled in Medicare?

Yes. Fort Myers Psychology, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fort Myers Psychology, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Fort Myers Psychology, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (6), Clinical Social Worker (4) and Mental Health Counselor (1). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fort Myers Psychology, PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Fort Myers Psychology, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fort Myers Psychology, PA was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.