DR. JOHN THORNTON O'DONNELL M.D. NPI 1205890282

NPI Information

NPI: 1205890282
Provider Name: DR. JOHN THORNTON O'DONNELL, M.D.
Classification: Psychiatry & Neurology - 2084P0800X
Specialization: Psychiatry
Entity Type: Individual
PECOS Registration: Yes
Address: 11215 METRO PKWY STE 1
FORT MYERS, FL
ZIP 33966
Phone: (239) 208-2212

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NPI Details

DR. John Thornton O'donnell, M.D. is a psychiatry psychiatry neurology in Fort Myers, FL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DR. John Thornton O'donnell, M.D. NPI is 1205890282. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11215 METRO PKWY STE 1
FORT MYERS, FL
ZIP 33966-206
Phone: (239) 208-2212

The NPI 1205890282 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/14/2006 and was last updated on 1/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine	158850	NEW YORK	No
2	2084A0401X	Psychiatry & Neurology	Addiction Medicine	MA059107	NEW JERSEY	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	MA059107	NEW JERSEY	No
4	2084P0800X	Psychiatry & Neurology	Psychiatry	158850	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6359205	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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