OrganizationActive
Island Coast Behavioral Health and Therapy
NPI 1164303574 · Psychiatry Physician · Fort Myers, FL
Provider details
- NPI number
- 1164303574
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Piotr Sobolewski, Manager(216) 214-2777
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12381 S Cleveland Ave Ste 506
Fort Myers, FL 33907-3854
Phone: (216) 214-2777
Street-level locationGet directions
Mailing address
12381 S Cleveland Ave Ste 506
Fort Myers, FL 33907-3854
Registry dates
- Enumerated
- 2025-09-11
- Last updated
- 2025-09-11
- Certified
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.