PHYLLIS WALTERS, PH.D.
NPI 1679161491
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bonita Springs, FL

Active since January 07, 2021
9220 BONITA BEACH RD SE STE 222, BONITA SPRINGS, FL 34135(239) 404-9396 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phyllis Walters, Ph.d. NPPES

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

PHYLLIS WALTERS, PH.D. (NPI 1679161491) is a healthcare organization registered as a mental health (including community mental health center) in Bonita Springs, Florida and active in the NPI registry since January 2021. The organization lists Marco Bianchi, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1679161491
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePHYLLIS WALTERS, PH.D.
Location Address9220 BONITA BEACH RD SE STE 222Bonita Springs, FL 34135-4235
Mailing Address9248 Cypress Dr NFort Myers, FL 33967-5440 · (239) 297-1508
Organization SubpartNo
Authorized OfficialMarco BianchiBilling Manager · (239) 297-1508
Enumeration DateJanuary 7, 2021
NPPES CertifiedJanuary 7, 2021
NPI 1679161491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
9220 BONITA BEACH RD SE STE 222, Bonita Springs, FL 34135

Other Names 1

Doing Business AsPhyllis Walters, Ph.d.

Other Providers at the Same Location NPPES

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

Psychologist (School)
9220 BONITA BEACH RD SE STE 222
BONITA SPRINGS, FL 34135

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 Phyllis Walters, Ph.D.'s NPI number?

The NPI number for Phyllis Walters, Ph.D. is 1679161491. It was assigned to this organization in the NPPES registry on January 7, 2021.

Where is Phyllis Walters, Ph.D. located?

Phyllis Walters, Ph.D. is located at 9220 Bonita Beach Rd SE Ste 222, Bonita Springs, FL 34135. The listed phone number is (239) 404-9396.

What is Phyllis Walters, Ph.D.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Phyllis Walters, Ph.D. was last updated on January 7, 2021. 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.