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

Dr. Michael P. Shain, PHD

Individual provider Psychologist · NPI 1902898471

Dr. Michael P. Shain, PHD is a Clinical Psychologist in Fort Myers, Florida. Qualified in 1991, 35 years ago. Practices with Lee Health System Inc, a 1,375-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
35
Licensed in
FL
In the registry since
2005
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

12600 Creekside Ln Ste 7
Fort Myers, FL 33919-3353
Phone: (239) 343-9220
Fax: (239) 343-9231
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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 PY8801 (FL)
Psychologist Taxonomy 103T00000X · Licence PY8801 (FL)

Record details

NPI number1902898471
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 19, 2005
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024
Mailing addressPo Box 2147, Fort Myers, FL 33902-2147

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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