Robert Bastanfar PHD LP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

ROBERT BASTANFAR PHD LP

Practice address

4660 Marsh Rd
Room 28
Okemos, MI 48864-2143

Phone

(517) 749-1356

NPI assigned

Jun 9, 2014

Organization subpart

No

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

Authorized official

Name

Robert Bastanfar, PHDNPI 1992085534

Title

Psychologist

Phone

(517) 749-1356

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Babak Bastanfar, PH.D.

  • Counseling Psychologist
  • Okemos, MI
  • NPI 1992085534
  Medicare reassignment Authorized official
• Larisa K Hutchins, PSY.D.

  • Clinical Psychologist
  • Okemos, MI
  • NPI 1841344256
  NPD (past)

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1497168264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 MARSH RD",
            "address_2": "ROOM 28",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 MARSH RD",
            "address_2": "ROOM 28",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642143",
            "telephone_number": "517-749-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BASTANFAR PHD LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "BASTANFAR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "517-749-1356",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey E Rivera, LMT
• Riverside Professional Counseling, LLC
• RMM Rentals LLC
• Layni Rober
• Matthew Roberge
• Robert C Davis PHD
• Robert Herrera DDS PC
• Robert J. Currier D.D.S., P.C.
• Julie Lynn Robert, LLP
• Beth S Roberts, MSW

• Counseling Psychologist in Okemos, MI
• Providers in Okemos, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.