Michelle Fast, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3846 Issued in TN

Practice address

2700 Executive Park NW Ste a
Cleveland, TN 37312-2770

Phone

(423) 436-1565

Fax

(423) 558-3458

NPI assigned

Dec 2, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Agape Youth Behavioral Health

  • Child & Adolescent Psychiatry Physician
  • Chattanooga, TN
  • NPI 1528405925
  NPD
• Monroe County Board of Education

  • Local Education Agency (LEA)
  • Tellico Plains, TN
  • NPI 1902079817
  NPD (past)

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1114358108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 EXECUTIVE PARK NW STE A",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122770",
            "telephone_number": "423-436-1565",
            "fax_number": "423-558-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 EXECUTIVE PARK NW STE A",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122770",
            "telephone_number": "423-436-1565",
            "fax_number": "423-558-3458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 Peerless Xing NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373123785",
            "country_code": "US",
            "telephone_number": "423-436-1565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAST",
        "first_name": "MICHELLE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "3846",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TN",
            "license": "593740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medicine Center
• Terry Farmer, REV.
• Lawrence Evan Farris, PHARMD
• Kamran Farrukh, MD
• Fast Pace Medical Clinic PLLC
• Sarah A Faulkner, SP
• Jaiden Corinne Fava, RBT
• Andrea Fawley
• Courtney Ferguson
• Dhuranique Daphne Laura Ferguson

• Psychologist in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.