Individual provider Active NPI

Nina Nabors, PHD

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1427422195
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301009483 Issued in MI
Practice address
122 S Main St
Ste 200
Ann Arbor, MI 48104-1929
Phone
(734) 635-8830
Fax
(734) 368-9115
NPI assigned
Nov 18, 2015
Last updated
Nov 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301009483 MI Primary

Addresses

Primary practice location

122 S Main St
Ste 200
Ann Arbor, MI 48104-1929

Mailing address

122 S Main St
Ste 200
Ann Arbor, MI 48104-1929
Phone (734) 635-8830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20260622001552 MI Practitioner - Clinical Psychologist 7719458702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

40433 Koppernick Rd
Canton, MI 48187-4283

PO Box
Suite 131487
Ann Arbor, MI 48113-1487

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301009483MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Empowerment Group, PLLC Clinical CurrentSince May 16, 2026 Accepting new patients

Locations

124 Pearl St
Ste 207
Ypsilanti, MI 48197
Phone (734) 481-0180

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1427422195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST",
            "address_2": "STE 200",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041929",
            "telephone_number": "734-635-8830",
            "fax_number": "734-368-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST",
            "address_2": "STE 200",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041929",
            "telephone_number": "734-635-8830",
            "fax_number": "734-368-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABORS",
        "first_name": "NINA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.