Daniel Dean Fachting, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301008802 Issued in MI

Practice address

301 E 4TH St
Clare, MI 48617-1547

Phone

(989) 386-8166

Fax

(989) 386-8166

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fachting Counseling Services, Inc.

  • Psychologist
  • Clare, MI
  • NPI 1801128558
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487719977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 4TH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171547",
            "telephone_number": "989-386-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 4TH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171547",
            "telephone_number": "989-386-8166",
            "fax_number": "989-386-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACHTING",
        "first_name": "DANIEL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11275836",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PI",
            "identifier": "680A810140",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PIN",
            "identifier": "251479000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeleine K Elwell, RD
• Kimberly Emmer
• Gregory J Endresbercher, MD
• Evergreen Physical Therapy Limited Partnership
• Fachting Counseling Services, Inc.
• Farwell Family Medicine Clinic PC
• John A Finn, O.D.
• Melody L Fitzer, M.D.
• Gateway Pharmacy of Clare Inc
• Gateway Pharmacy of Clare, Inc.

• Psychologist in Clare, MI
• Providers in Clare, MI by specialty
• Psychologist in Michigan

• 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.
• 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.

Verify at the official NPI Registry.