NPIMap

Organization Active NPI

Fenton Therapy Services LLC

  • Psychologist
  • Fenton, MI
National Provider Identifier
1548759541
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
FENTON THERAPY SERVICES LLC
Practice address
111 N River St
Fenton, MI 48430-2696
Phone
(810) 777-0250
Fax
(810) 208-0330
NPI assigned
May 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Savanna Loafman, LLP
Title
Owner
Phone
(810) 777-0250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

111 N River St
Fenton, MI 48430-2696

Mailing address

111 N River St
Fenton, MI 48430-2696
Phone (810) 777-0250

National Provider Directory

National Provider Directory

Locations

1440 Torrey Rd
Ste E
Fenton, MI 48430
Phone (810) 210-4894

111 N River St
Fenton, MI 48430
Phone (810) 777-0250

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1548759541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N RIVER ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302696",
            "telephone_number": "810-777-0250",
            "fax_number": "810-208-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N RIVER ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302696",
            "telephone_number": "810-777-0250",
            "fax_number": "810-208-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENTON THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "LOAFMAN",
        "authorized_official_first_name": "SAVANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-777-0250",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.