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DR. EDWARD J KILLEEN M.D. NPI 1376578336


NPI Information

NPI: 1376578336
Provider Name: DR. EDWARD J KILLEEN, M.D.
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Individual

Specialization: Geriatric Psychiatry

Organization: REFRESH CANOPY COVE, INC

PECOS Registration: Yes

Address:
2789 ORTIZ AVE
FORT MYERS, FL
ZIP 33905
Phone: (239) 275-3222
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DR. Edward J Killeen, M.D. is a geriatric psychiatry psychiatry neurology in Fort Myers, FL with 39 years of experience. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. DR. Edward J Killeen, M.D. NPI is 1376578336. 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:

2789 ORTIZ AVE
FORT MYERS, FL
ZIP 33905-806
Phone: (239) 275-3222

The NPI 1376578336 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 60 minutes with patient and/or family member (HCPCS:90837)

The enumeration date for this NPI number is 7/11/2006 and was last updated on 10/24/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0805XPsychiatry & NeurologyGeriatric Psychiatry203612MASSACHUSETTSNo
22084P0805XPsychiatry & NeurologyGeriatric PsychiatryME 58216FLORIDAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.