Active NPI
Steven Joseph Fadoir, PH.D.
- Clinical Psychologist
- Farmington Hills, MI
National Provider Identifier
1457486698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301006008
- Practice address
- 31330 Northwestern Hwy
Suite D
Farmington Hills, MI 48334-2560 - Phone
- (248) 737-9903
- NPI assigned
- Feb 21, 2007
- Last updated
- Aug 26, 2016
- Sex
- Male
- 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 | 6301006008 | MI | Primary |
Addresses
Primary practice location
31330 Northwestern Hwy
Suite D
Farmington Hills, MI 48334-2560
Mailing address
31300 Northwestern Highway
Suite B
Farmington Hills, MI 48344
Phone (248) 737-9903
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6301006008 | Other | MI | PSYCHOLOGIST LICENSE-FULL |
| 38-3553483 | Other | MI | FEDERAL TAX ID |
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, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
31300 Northwestern Hwy
Suite B
Farmington Hills, MI 48334-5407
Phone (248) 737-9903
31300 Northwestern Hwy B
Farmington Hills, MI 48334-5407
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301006008 | MI | MD | Clinical Psychologist |
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.
-
- Clinic/Center
- Farmington Hills, MI
- NPI 1194985689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1457486698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31300 NORTHWESTERN HIGHWAY",
"address_2": "SUITE B",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "48344",
"telephone_number": "248-737-9903",
"fax_number": "248-737-9963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31330 NORTHWESTERN HWY",
"address_2": "SUITE D",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342560",
"telephone_number": "248-737-9903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADOIR",
"first_name": "STEVEN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301006008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST LICENSE-FULL",
"identifier": "6301006008",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "38-3553483",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.