Healthcare Provider Details

I. General information

NPI: 1992701916
Provider Name (Legal Business Name): MARK BENJAMIN MEYERS PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 IMPERIAL GOLF COURSE BLVD STE 113
NAPLES FL
34110-1088
US

IV. Provider business mailing address

3950 ESTERO BAY LN
NAPLES FL
34112-6112
US

V. Phone/Fax

Practice location:
  • Phone: 239-409-0008
  • Fax: 833-818-0145
Mailing address:
  • Phone: 239-409-0008
  • Fax: 833-818-0145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY7046
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: