Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew Dacosta, PSYD

Individual provider Clinical Neuropsychologist · NPI 1477386118

Andrew Dacosta, PSYD is a Clinical Psychologist in Fort Myers, Florida. Qualified in 2022, 4 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2024
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

12600 Creekside Ln Ste 4
Fort Myers, FL 33919-3353
Phone: (239) 343-9220
Fax: (239) 343-4240
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Additional practice locations (1)

  • 12600 Creekside Ln Ste 7, Fort Myers, FL 33919-3353 — (239) 343-9220

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PY12242 (FL)
Psychologist Taxonomy 103T00000X · Licence PY12242 (FL)

Record details

NPI number1477386118
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 20, 2024
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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