NPIMap

Individual provider Active NPI

Robert J Fabiano, PHD

  • Rehabilitation Psychologist
  • Lansing, MI
National Provider Identifier
1629157185
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
Practice address
3960 Patient Care Way
Suite 104
Lansing, MI 48911-4275
Phone
(517) 887-9801
Fax
(517) 887-9826
NPI assigned
Nov 3, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6301007285 MI
Forensic Psychologist 103TF0200X
Psychologist 103T00000X 6301007285 MI
Rehabilitation Psychologist 103TR0400X Primary

Addresses

Primary practice location

3960 Patient Care Way
Suite 104
Lansing, MI 48911-4275

Mailing address

3960 Patient Care Way
Suite 104
Lansing, MI 48911-4275
Phone (517) 887-9801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000443 MI Practitioner - Clinical Psychologist 1759277569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological Associates in Rehabilitation PCGroup PAC ID 2860388675, 6 clinicians

Practice addresses (Care Compare)

3960 Patient Care Dr
Suite 104
Lansing, MI 48911-4276
Phone (517) 887-9801

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301007285MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Associates in Rehabilitation PC Clinical Neuropsychologist CurrentSince Sep 9, 1993 Accepting new patients
Psychological Associates in Rehabilitation PC Psychologist Past Accepting new patients
CNS Hospice LLC PastSince Dec 6, 2017 Accepting new patients

Locations

625 Kenmoor Ave SE
Ste 301
Grand Rapids, MI 49546
Phone (231) 519-8300

3960 Patient Care Dr
Ste 104
Lansing, MI 48911
Phone (517) 887-9801

Organizations & group practices 8

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1629157185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 PATIENT CARE WAY",
            "address_2": "SUITE 104",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114275",
            "telephone_number": "517-887-9801",
            "fax_number": "517-887-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 PATIENT CARE WAY",
            "address_2": "SUITE 104",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114275",
            "telephone_number": "517-887-9801",
            "fax_number": "517-887-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIANO",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301007285",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301007285",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.