Brooke E Vanburen-Hay, FLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301011823 Issued in MI

Practice address

3960 Patient Care Way
Ste. 104
Lansing, MI 48911-4275

Phone

(517) 887-9801

Fax

(517) 887-9826

NPI assigned

May 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychological Associates in Rehabilitation PCGroup PAC ID 2860388675, 6 clinicians

Fandh Behavioral Health, PCGroup PAC ID 9830527159, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• F&H Behavioral Health, PC

  • Addiction (Substance Use Disorder) Counselor
  • Lansing, MI
  • NPI 1841843182
  Medicare reassignment Care Compare group Authorized official
• Psychological Associates in Rehabilitation PC

  • Clinical Neuropsychologist
  • Lansing, MI
  • NPI 1760434641
  Medicare reassignment Care Compare group NPD
• Community Mental Health Authority of Clinton Eaton Ingham Counties

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lansing, MI
  • NPI 1265483457
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1043277239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 PATIENT CARE WAY",
            "address_2": "STE. 104",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114275",
            "telephone_number": "517-887-9801",
            "fax_number": "517-887-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 PATIENT CARE WAY",
            "address_2": "STE. 104",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114275",
            "telephone_number": "517-887-9801",
            "fax_number": "517-887-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBUREN-HAY",
        "first_name": "BROOKE",
        "middle_name": "E",
        "credential": "FLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Nadine Van Fossen, LLMSW
• Deborah Van Hal, LLMSW
• Nicole Van Horne, DO
• Sidney Vanalstine, PHARMD
• Kendra Jeanne Vanandel, OTR/L
• Aaron Michael Vandecastle, DO
• Heidi Renee Vanden Berg, LMSW
• Shelby Lorraine Vandenbussche
• Eliana Michelle Vander Lugt
• Tim L Vander Molen, PH.D., LLP

• Psychologist in Lansing, MI
• Providers in Lansing, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.