Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Axel Bouchard, PHD

Individual provider Psychologist · NPI 1962889139

Dr. Axel Bouchard, PHD is a Clinical Psychologist in Fort Myers, Florida. Qualified in 2017, 9 years ago. Practices with Clarinda Regional Health Center, a 48-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

13099 S Cleveland Ave Ste 300
Fort Myers, FL 33907-3835
Phone: (239) 936-1336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PY10473 (FL)
Psychologist Taxonomy 103T00000X · Licence PY10473 (FL)

Record details

NPI number1962889139
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 27, 2015
Last updated in NPPESAugust 20, 2019
Mailing address13099 S Cleveland Ave Ste 300, Fort Myers, FL 33907-3835

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Clarinda Regional Health Center — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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