TARA DIBATTISTO PSYD
NPI 1619563533
Psychologist - Clinical in Fort Myers, FL

Q: What is Tara Dibattisto's NPI number?

The NPI number for Tara Dibattisto is 1619563533. It was assigned to this individual provider in the NPPES registry on December 15, 2020.

Q: What is Tara Dibattisto's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tara Dibattisto was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since December 15, 2020

4310 METRO PKWY STE 205, FORT MYERS, FL 33916(239) 223-2751(239) 561-2933 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Tara Dibattisto Psyd NPPES

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

TARA DIBATTISTO PSYD (NPI 1619563533) is an individual clinical provider in Fort Myers, Florida, licensed in Florida (PY9151) and active in the NPI registry since December 2020. She maintains a secondary practice location in Weston.

NPPES Registry Identity

NPI1619563533

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameTARA DIBATTISTOCredential: PSYD

Location Address4310 METRO PKWY STE 205Fort Myers, FL 33916-9416

Mailing Address4310 Metro Pkwy Ste 205Fort Myers, FL 33916-9416 · (239) 236-8784 · Fax (239) 790-2624

Phone(239) 223-2751

Fax(239) 561-2933

Sole ProprietorYes

Enumeration DateDecember 15, 2020

NPPES CertifiedDecember 15, 2020

✔ NPI 1619563533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY9151

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.

4310 METRO PKWY STE 205, Fort Myers, FL 33916

Open in Google Maps ↗

Secondary Practice Location 1

Location 12625 Executive Park Dr Ste 5Weston, FL 33331-3634 · Phone (239) 223-2751 · Fax (239) 561-2933

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TONI LOPEZ LMHC

Counselor (Mental Health)