Individual provider Active NPI

Michael A Fearing, PH.D.

  • Clinical Neuropsychologist
  • Needham, MA
National Provider Identifier
1265673933
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
8989 Issued in MA
Practice address
687 Highland Ave
Needham, MA 02494-2232
Phone
(877) 283-7863
NPI assigned
Mar 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 8989 MA Primary

Addresses

Primary practice location

687 Highland Ave
Needham, MA 02494-2232

Mailing address

741 River St
Winchendon, MA 01475-1932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090611000300 MA Practitioner - Clinical Psychologist 8224188321
I20250612002271 FL Practitioner - Psychologist Billing Independently 8224188321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12601 S Gardens Dr
Apt 105
Palm Beach Gardens, FL 33418-5886

900 E Indiantown Rd
Suite 310
Jupiter, FL 33477-5153
Phone (561) 660-2933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8989MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Neuropsychological Services, LLC Clinical Neuropsychologist CurrentSince May 1, 2009 Accepting new patients
Neuropsychological Evaluations of Northampton CurrentSince Jul 7, 2020 Accepting new patients
Neuropsychological and Memory Evaluations of Jupiter Clinical Neuropsychologist CurrentSince May 1, 2025 Accepting new patients
Neuropsych and Public Safety Testing Servicesb Past Accepting new patients

Locations

900 E Indiantown Rd
Ste 310
Jupiter, FL 33477
Phone (561) 601-1647

687 Highland Ave
Ste 2
Needham Heights, MA 02494
Phone (781) 559-8444

71 King St
Ste 3
Northampton, MA 01060
Phone (413) 335-7594

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1265673933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 RIVER ST",
            "city": "WINCHENDON",
            "state": "MA",
            "postal_code": "014751932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942232",
            "telephone_number": "877-283-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARING",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "8989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.