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

Dr. Edward J Killeen, MD

Individual provider Geriatric Psychiatry Physician · NPI 1376578336

Dr. Edward J Killeen, MD is a Psychiatry in Fort Myers, Florida. Qualified in 1985, 41 years ago. Practices with Center of Revitalizing Psychiatry, PC, a 37-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Massachusetts.

Years since qualifying
41
Licensed in
FL, MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2789 Ortiz Ave
Fort Myers, FL 33905-7806
Phone: (239) 275-3222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2033 Wood St Ste 220, Sarasota, FL 34237-7927 — (941) 677-3366

Specialties & licences

Geriatric Psychiatry Physician (primary) Taxonomy 2084P0805X · Licence ME 58216 (FL)
Geriatric Psychiatry Physician Taxonomy 2084P0805X · Licence 203612 (MA)

Record details

NPI number1376578336
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Center Of Revitalizing Psychiatry, P.C. — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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