Active NPI
Marlan Fears, BEHAVIORAL TECH
- Other Technician
- Flint, MI
National Provider Identifier
1457011678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 2284 S Ballenger Hwy Ste G
Flint, MI 48503-3446 - Phone
- (810) 221-7871
- NPI assigned
- Dec 29, 2021
- Last updated
- Dec 29, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | NU | Primary |
Addresses
Primary practice location
2284 S Ballenger Hwy Ste G
Flint, MI 48503-3446
Mailing address
2284 S Ballenger Hwy Ste G
Flint, MI 48503-3446
Phone (810) 221-7871
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marlan.fears@merakey.org | Health Information Exchange (HIE) | Merakey Pennsylvania |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merakey Pennsylvania | Past | Accepting new patients | |
| Merakey Pennsylvania | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- McKeesport, PA
- NPI 1003931924
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baton Rouge, LA
- NPI 1467252536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1457011678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2284 S BALLENGER HWY STE G",
"city": "FLINT",
"state": "MI",
"postal_code": "485033446",
"telephone_number": "810-221-7871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2284 S BALLENGER HWY STE G",
"city": "FLINT",
"state": "MI",
"postal_code": "485033446",
"telephone_number": "810-221-7871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEARS",
"first_name": "MARLAN",
"credential": "BEHAVIORAL TECH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-29",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marlan.fears@merakey.org",
"affiliation": "Y",
"endpointDescription": "merakey email",
"affiliationName": "Merakey Pennsylvania",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "515 Walnut St",
"city": "McKeesport",
"state": "PA",
"country_code": "US",
"postal_code": "151322802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.