Fair Clinical Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

FAIR CLINICAL SERVICES, LLC

Doing business as

Rooted Within Psychology
The Ironwood Center

Practice address

401 Kamakee St Ste 405
Honolulu, HI 96814-4261

Phone

(808) 282-9932

Fax

(419) 893-0475

NPI assigned

Dec 22, 2018

Organization subpart

No

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

Authorized official

Name

Christine A. Fair, DRNPI 1194906958

Title

Ceo

Phone

(419) 234-0590

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Rooted Within Psychology Doing business as
• The Ironwood Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine A. Fair, LPC, PHD

  • Clinical Psychologist
  • Maumee, OH
  • NPI 1194906958
  Medicare reassignment NPD Authorized official
• David Alan Cislo, PH.D.

  • Clinical Psychologist
  • Maumee, OH
  • NPI 1215915160
  NPD (past)
• Jeanne Dennler, PHD

  • Mental Health Counselor
  • Maumee, OH
  • NPI 1164529517
  NPD (past)

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

{
    "created_epoch": "1545436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1053883439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-036 KAMEHAMEHA HWY UNIT 1552",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967447863",
            "telephone_number": "419-740-3052",
            "fax_number": "419-893-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 KAMAKEE ST STE 405",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144261",
            "telephone_number": "808-282-9932",
            "fax_number": "419-893-0475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Woodlands Dr Ste 224",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435374043",
            "country_code": "US",
            "telephone_number": "419-740-3052",
            "fax_number": "419-893-0475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAIR CLINICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-22",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-234-0590",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0346995",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rooted Within Psychology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Ironwood Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Ironwood Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jodiane Faaui
• Leah Marianne Moreno Fabila, M.A.T, RBT
• Julia Fagan
• Maegan Dioquino Fagaragan
• Maria Tersa C Failano, RN
• Katelin Fairchild
• Jon Fairfax, MD
• Lori L. Fairfax, N.P.
• Faithcare, LLC (FaithCare Hawaii)
• Faithcare, LLC (FaithCare Hawaii)

• Clinical Psychologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.