Christine A. Fair, LPC, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7294 Issued in OH

Practice address

2211 River Rd
Maumee, OH 43537-3637

Phone

(419) 740-3052

Fax

(419) 893-0475

NPI assigned

Nov 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Christine A. Wright Former name

Medicare fee-for-service enrollment

Enrolled in OH

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Fair Clinical Services, LLC

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1053883439

  OH

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1194906958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 RIVER RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373637",
            "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": "2211 RIVER RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373637",
            "telephone_number": "419-740-3052",
            "fax_number": "419-893-0475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7130 Spring Meadows W Dr",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "OH",
            "postal_code": "435289296",
            "country_code": "US",
            "telephone_number": "419-740-3052",
            "fax_number": "419-893-0475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIR",
        "first_name": "CHRISTINE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "LPC, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-12330",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3985",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1197",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163573",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "WRIGHT",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darrell Kennedy Evans Jr., M.D.
• Alexa Evarts, RBT
• Bradley Paul Everly, MD
• James A Ewry, MD
• Eye Institute of Northwestern Ohio, Inc.
• Kevin Falk
• Fallen Timbers Family Eye Care
• Fallen Timbers Family Physicians
• Fallen Timbers Internal Medicine, LLC
• Desirae Danielle Felgner

• Clinical Psychologist in Maumee, OH
• Providers in Maumee, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.