Active NPI
Nina Nabors, PHD
- Clinical Psychologist
- Ann Arbor, MI
National Provider Identifier
1427422195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301009483
- 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, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6301009483 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Empowerment Group, PLLC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.