Active NPI
Jodene Goldenring Fine, PH.D.
- Psychologist
- East Lansing, MI
National Provider Identifier
1487069217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3352541
- Practice address
- 316 Physics Rd
East Lansing, MI 48824-5605 - Phone
- (517) 575-9262
- NPI assigned
- Jul 1, 2014
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3352541 | MI | Primary |
Addresses
Primary practice location
316 Physics Rd
East Lansing, MI 48824-5605
Mailing address
3409 Oakmont Dr
Lansing, MI 48911-1261
Phone (517) 575-9262
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3352541 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1487069217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3409 OAKMONT DR",
"city": "LANSING",
"state": "MI",
"postal_code": "489111261",
"telephone_number": "517-575-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 PHYSICS RD",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488245605",
"telephone_number": "517-575-9262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "JODENE",
"middle_name": "GOLDENRING",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-01",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "3352541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.