Active NPI
Maria Fimiani, PSY.D.
- Clinical Psychologist
- Burton, MI
National Provider Identifier
1477665073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301012065
- Practice address
- 1460 N Center Rd
Behavioral Science Department
Burton, MI 48509-1429 - Phone
- (810) 715-4322
- Fax
- (810) 715-4371
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301012065 | MI | Primary |
Addresses
Primary practice location
1460 N Center Rd
Behavioral Science Department
Burton, MI 48509-1429
Mailing address
8303 Sherwood Dr
Grand Blanc, MI 48439-8356
Phone (810) 606-1041
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477665073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8303 SHERWOOD DR",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398356",
"telephone_number": "810-606-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 N CENTER RD",
"address_2": "BEHAVIORAL SCIENCE DEPARTMENT",
"city": "BURTON",
"state": "MI",
"postal_code": "485091429",
"telephone_number": "810-715-4322",
"fax_number": "810-715-4371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIMIANI",
"first_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301012065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.