NPIMap

Organization Active NPI

Patricia J Lafave P H D & Associates P C

  • Psychologist
  • Jackson, MI
National Provider Identifier
1497932081
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PATRICIA J LAFAVE P H D & ASSOCIATES P C
Practice address
3333 Spring Arbor Rd
Suite 800
Jackson, MI 49203-8605
Phone
(517) 782-2442
Fax
(517) 782-0310
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Patricia J Lafave, PHDNPI 1902899974
Title
PHD
Phone
(517) 782-2442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X MI Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X MI

Addresses

Primary practice location

3333 Spring Arbor Rd
Suite 800
Jackson, MI 49203-8605

Mailing address

3333 Spring Arbor Rd
Suite 800
Jackson, MI 49203-8605
Phone (517) 782-2442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050117000491 MI Part B Supplier - Clinic/Group Practice 3577512565 Receives reassigned benefits from 14 practitioners
Practice locations: Jackson, MI

National Provider Directory

National Provider Directory

Locations

3101 Spring Arbor Rd
Ste 100
Jackson, MI 49203
Phone (517) 782-2442

3333 Spring Arbor Rd
Ste 800
Jackson, MI 49203
Phone (517) 782-2442

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497932081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 SPRING ARBOR RD",
            "address_2": "SUITE 800",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492038605",
            "telephone_number": "517-782-2442",
            "fax_number": "517-782-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SPRING ARBOR RD",
            "address_2": "SUITE 800",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492038605",
            "telephone_number": "517-782-2442",
            "fax_number": "517-782-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA J LAFAVE P H D & ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LAFAVE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "517-782-2442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.