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LEE MEMORIAL HEALTH SYSTEM
NPI 1881297091
Clinic/Center - Federally Qualified Health Center (FQHC) in Fort Myers, FL

Active since November 19, 2020
15901 BASS RD STE 108, FORT MYERS, FL 33908(239) 343-6050(239) 343-6051 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lee Memorial Health System NPPES

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

LEE MEMORIAL HEALTH SYSTEM (NPI 1881297091), doing business as Lch -pediatric Behavioral Health, is a healthcare organization registered as a federally qualified health center (fqhc) in Fort Myers, Florida and active in the NPI registry since November 2020. The organization lists Joseph Niebergall, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1881297091
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEE MEMORIAL HEALTH SYSTEM
Location Address15901 BASS RD STE 108Fort Myers, FL 33908-3838
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 424-1449 · Fax (239) 424-1423
Phone(239) 343-6050
Fax(239) 343-6051
Organization SubpartNo
Authorized OfficialJoseph NiebergallCredentialing Specialist · (239) 424-1446
Enumeration DateNovember 19, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1881297091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
15901 BASS RD STE 108, Fort Myers, FL 33908
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Other Names 1

Doing Business AsLch -pediatric Behavioral Health

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.

DR. DEEPA VADUTHALAKUZHY LUKA MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
15901 BASS RD STE 108
FORT MYERS, FL 33908
Lee County (239) 343-6050
DR. ERRIN E. PRICE PSY.D.
Psychologist (Clinical Child & Adolescent)
15901 BASS RD STE 108
FORT MYERS, FL 33908
Lee County (239) 343-6050
LEE MEMORIAL HEALTH SYSTEM
Clinic/Center (Federally Qualified Health Center (FQHC))
15901 BASS RD STE 108
FORT MYERS, FL 33908
Lee County (239) 343-6050
DR. RAYMOND ROBERT MAY PSY.D.
Psychologist
15901 BASS RD STE 108
FORT MYERS, FL 33908
Lee County (239) 343-6050
ALYSSA LEWIS
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
15901 BASS RD STE 108
FORT MYERS, FL 33908
Lee County (239) 343-9890
MS. NATALIE SMITH WILLIAMS APRN
Nurse Practitioner (Family)
15901 BASS RD STE 108
FORT MYERS, FL 33908
Lee County (239) 343-6050
DR. KRISTINA ANNE WINCHELL-BARRILE PH.D.
Psychologist
15901 BASS RD STE 108
FORT MYERS, FL 33908
Lee County (239) 343-6050
KALEESHA BENT M.S.
Marriage & Family Therapist
15901 BASS RD STE 108
FORT MYERS, FL 33908
Lee County (239) 343-6050

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 Lee Memorial Health System's NPI number?

The NPI number for Lee Memorial Health System is 1881297091. It was assigned to this organization in the NPPES registry on November 19, 2020. The provider is doing business as Lch -Pediatric Behavioral Health.

Where is Lee Memorial Health System located?

Lee Memorial Health System is located at 15901 Bass Rd Ste 108, Fort Myers, FL 33908. The listed phone number is (239) 343-6050.

What is Lee Memorial Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Lee Memorial Health System was last updated on November 19, 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.