OrganizationActive
Susan Support Services
NPI 1700540481 · Developmental Disabilities Clinic/Center · Fort Myers, FL
Provider details
- NPI number
- 1700540481
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Goins, Waiver Support Coordinator(239) 362-5802
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES 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
961 Coconut Dr
Fort Myers, FL 33903-4201
Phone: (239) 362-5802
Street-level locationGet directions
Mailing address
961 Coconut Dr
Fort Myers, FL 33903-4201
Registry dates
- Enumerated
- 2021-10-28
- Last updated
- 2021-10-28
- Certified
- 2021-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.