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DR. CORI J. REVAK PSY.D.
NPI 1740372325
Psychologist - Clinical in Fort Myers, FL

Active since September 29, 2006Opted out of Medicare · through Jun 16, 2027
13430 PARKER COMMONS BLVD STE 101, FORT MYERS, FL 33912(239) 561-9955(239) 561-9779 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Cori J. Revak Psy.d. NPPES

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

DR. CORI J. REVAK PSY.D. (NPI 1740372325) is an individual clinical provider in Fort Myers, Florida, licensed in Florida (PY6814) and active in the NPI registry since September 2006. She has opted out of Medicare through June 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740372325
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CORI J. REVAKCredential: PSY.D.
Location Address13430 PARKER COMMONS BLVD STE 101Fort Myers, FL 33912-1812
Mailing Address13430 Parker Commons Blvd Ste 101Fort Myers, FL 33912-1812 · (239) 561-9955 · Fax (239) 561-9779
Phone(239) 561-9955
Fax(239) 561-9779
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateMay 12, 2026
NPPES CertifiedMay 12, 2026
✔ NPI 1740372325 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 · PY6814
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.
13430 PARKER COMMONS BLVD STE 101, Fort Myers, FL 33912
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Other Names 1

Other Name (5)Cori Calkins Psyd

Other Identifiers 2

Other74376FL · Bcbs Individ. Provider #
Other74976FL · Bcbs Group Provider #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Cori J. Revak Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 16, 2015 through June 16, 2027.

Opt-Out Effective DateJune 16, 2015
Opt-Out In Effect ThroughJune 16, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

ASSOCIATES IN FAMILY PSYCHOLOGY
Psychologist (Clinical)
13430 PARKER COMMONS BLVD STE 101
FORT MYERS, FL 33912
Lee County (239) 561-9955
POOJA SHASTRI, PSY.D., P.A.
Psychologist (Clinical)
13430 PARKER COMMONS BLVD STE 101
FORT MYERS, FL 33912
Lee County (239) 561-9955
DR. POOJA SHASTRI PSY.D
Psychologist (Clinical)
13430 PARKER COMMONS BLVD STE 101
FORT MYERS, FL 33912
Lee County (239) 561-9955

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 Cori Revak's NPI number?

The NPI number for Cori Revak is 1740372325. It was assigned to this individual provider in the NPPES registry on September 29, 2006. The provider is also known as Cori Calkins Psyd.

Where is Cori Revak located?

Cori Revak practices at 13430 Parker Commons Blvd Ste 101, Fort Myers, FL 33912. The listed phone number is (239) 561-9955.

What is Cori Revak's specialty?

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

Is Cori Revak enrolled in Medicare?

No. Cori Revak has opted out of Medicare through June 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Cori Revak was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.