Joy Marie Fairbanks, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP5302 Issued in MN

Practice address

7770 Dell Rd Ste 120
Chanhassen, MN 55317-9316

Phone

(952) 955-4714

Fax

(952) 955-6213

NPI assigned

Dec 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

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.

• Park Nicollet Clinic

  • Family Medicine Physician
  • St Louis Park, MN
  • NPI 1780621904
  Medicare reassignment NPD
• Park Nicollet Clinic

  • Family Medicine Physician
  • St Louis Park, MN
  • NPI 1063897593
  NPD
• Park Nicollet Methodist Hospital

  • General Acute Care Hospital
  • St Louis Park, MN
  • NPI 1194113217
  NPD
• Comprehensive Behavioral Health Services

  • Adolescent and Children Mental Health Clinic/Center
  • Red Wing, MN
  • NPI 1912387184
  NPD (past)
• Comprehensive Behavioral Health Services, PA

  • Clinical Child & Adolescent Psychologist
  • Raleigh, NC
  • NPI 1346376282
  NPD (past)

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1295970259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 DELL RD STE 120",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179316",
            "telephone_number": "952-955-4714",
            "fax_number": "952-955-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 DELL RD STE 120",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179316",
            "telephone_number": "952-955-4714",
            "fax_number": "952-955-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRBANKS",
        "first_name": "JOY",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Elstad, MD
• Stephanie Norberg Enderle, OD
• Eric Bender, LLC
• Briana Eukel, CD (DONA)
• Evergreen Assisted Living Homes Inc
• Christine Famiano
• Family Focus Chiropractic, LLC
• Lynne K Farrell, PT, MED, CEEAA
• Molly Catherine Favour, MD
• Madeleinne Fern

• Psychologist in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.