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NPI 1144453796 · live from the CMS NPI Registry

Stefanie Jean-Baptiste Berry, MD

Psychiatry & Neurology, Neurology in Fort Myers, FL. National Provider Identifier 1144453796, active.

NPI record

NPI1144453796 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Neurology 2084N0400X
Practice location11215 Metro Pkwy Ste 1, Fort Myers, FL 33966
Practice phone239-208-2212
Mailing address2401 Gillham Rd, Attn Provider Enrollment Dept, Kansas City, MO 64108
EnumeratedAugust 31, 2009
Last updatedAugust 11, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Neurology primary2084N0400XME124786 (FL)
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology2084N0402XME124786 (FL)
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology2084N0402X2025013716 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.