Active NPI
Rebecca Anne Mair, PH.D.
- Contractor
- Grosse Pointe Park, MI
National Provider Identifier
1184789828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 6301008126
- Practice address
- 15450 E Jefferson Ave Ste 140
Grosse Pointe Park, MI 48230-2033 - Phone
- (313) 821-0098
- Fax
- (313) 884-9758
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 6301008126 | MI | Primary |
Addresses
Primary practice location
15450 E Jefferson Ave Ste 140
Grosse Pointe Park, MI 48230-2033
Mailing address
1360 Whittier Rd
Grosse Pointe Park, MI 48230-1114
Phone (313) 310-9843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2020 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301008126 | MI | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184789828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 WHITTIER RD",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "482301114",
"telephone_number": "313-310-9843",
"fax_number": "313-884-9758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15450 E JEFFERSON AVE STE 140",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "482302033",
"telephone_number": "313-821-0098",
"fax_number": "313-884-9758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIR",
"first_name": "REBECCA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MI",
"license": "6301008126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grosse Pointe Park, MI
- James Douglas Loffredo, LPC, CAAC, NCC
- Michael Lowe, O.D.
- Christine Lynch, CCC-SLP
- Amy Kathryn Macey, PH.D., LPC, SCL
- Lin Mae
- Christina Marinkovic
- Sara Michele Martin, M.A. CCC-SLP
- Mecca Staffing Solutions Mihp LLC (Mecca Staffing Solutions)
- Megan Gunnell, LMSW
- Lindsey Ann Mestdagh, PHYSICIAN ASSISTANT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.