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

Dr. Keith Bauer, PHD

Individual provider Clinical Psychologist · NPI 1770660193

Dr. Keith Bauer, PHD is a Clinical Psychologist in Wellington, Florida. Qualified in 1980, 46 years ago. Practices with Fort Myers Psychology PA, a 9-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
46
Licensed in
FL
In the registry since
2006
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

11120 S Crown Way Ste 1
Wellington, FL 33414-8718
Phone: (561) 790-1191
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY7433 (FL)

Record details

NPI number1770660193
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020
Mailing address10507 Washingtonia Palm Way Apt 3821, Fort Myers, FL 33966-6423

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Fort Myers Psychology Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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