Anthony Jerome Faber, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2008002561 Issued in MO

Practice address

1427 Thomas Dr
Suite 106
Cape Girardeau, MO 63701-2129

Phone

(573) 986-6814

Fax

(573) 651-2949

NPI assigned

Sep 17, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Horizons Enrichment Center LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Cape Girardeau, MO
  • NPI 1437917325
  NPD Authorized official

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1306095120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 MERRIWETHER ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036209",
            "telephone_number": "573-986-6814",
            "fax_number": "573-651-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 THOMAS DR",
            "address_2": "SUITE 106",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012129",
            "telephone_number": "573-986-6814",
            "fax_number": "573-651-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "ANTHONY",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2008002561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura R. Evans, O.D.
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• Ayotunde B Fadayomi, MD
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• Fadulelmola Fadul, MD
• Joann Falcon, CPM
• Lance C. Faler, M.D.

• Marriage & Family Therapist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Marriage & Family Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.