NPIMap

Organization Active NPI

Neuropsychology Partners, LLC

  • Clinical Psychologist
  • Brighton, MI
National Provider Identifier
1154849339
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NEUROPSYCHOLOGY PARTNERS, LLC
Practice address
7305 Grand River Rd Ste 300
Brighton, MI 48114-7378
Phone
(517) 887-9801
Fax
(517) 887-9826
NPI assigned
Sep 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Robert Fabiano, PHD
Title
Managing Member
Phone
(517) 887-9801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

7305 Grand River Rd Ste 300
Brighton, MI 48114-7378

Mailing address

7305 Grand River Rd Ste 300
Brighton, MI 48114-7378
Phone (517) 887-9801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180109002546 MI Part B Supplier - Clinic/Group Practice 6002175569 Receives reassigned benefits from 4 practitioners
Practice locations: Livonia, MI; Novi, MI; Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

250 W Eisenhower Pkwy
Ste 190
Ann Arbor, MI 48103
Phone (734) 707-7075

7305 Grand River Rd
Ste 300
Brighton, MI 48114
Phone (810) 588-6377

14555 Levan Rd
Ste 402
Livonia, MI 48154
Phone (734) 961-7196

46325 W Twelve Mile Rd
Ste 215
Novi, MI 48377
Phone (248) 347-8121

4870 W Clark Rd
Ste 106
Ypsilanti, MI 48197
Phone (734) 961-7196

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154849339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 GRAND RIVER RD STE 300",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147378",
            "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": "7305 GRAND RIVER RD STE 300",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147378",
            "telephone_number": "517-887-9801",
            "fax_number": "517-887-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGY PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FABIANO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "517-887-9801",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.