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TANJA MANI PHD NPI 1972756005


NPI Information

NPI: 1972756005
Provider Name: TANJA MANI, PHD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Organization: LEE MEMORIAL HEALTH SYSTEM

PECOS Registration: Yes

Address:
12600 CREEKSIDE LN
SUITE 6
FORT MYERS, FL
ZIP 33919
Phone: (239) 343-9219
Get Directions

Tanja Mani, PHD is a clinical neuropsychologist in Fort Myers, FL with 18 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Tanja Mani, PHD NPI is 1972756005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12600 CREEKSIDE LN
SUITE 6
FORT MYERS, FL
ZIP 33919
Phone: (239) 343-9219
Fax: (239) 343-9218

The NPI 1972756005 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.

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.

  • Neuropsychological testing, interpretation, and report by psychologist or physician per hour (HCPCS:96118)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 11/3/2008 and was last updated on 9/8/2021.


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
1103T00000XPsychologistPY7833FLORIDANo
2103G00000XClinical NeuropsychologistPY7833FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1105805000MEDICAIDFLORIDA

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.