Active NPI
James Tabeling, PSY. D.O
- Clinical Psychologist
- Ann Arbor, MI
National Provider Identifier
1649721986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301009406
- Practice address
- 24 Frank Lloyd Wright Dr
Suite L 2200
Ann Arbor, MI 48105-9484 - Phone
- (734) 930-4020
- Fax
- (734) 930-4020
- NPI assigned
- Oct 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301009406 | MI | Primary |
Addresses
Primary practice location
24 Frank Lloyd Wright Dr
Suite L 2200
Ann Arbor, MI 48105-9484
Mailing address
24 Frank Lloyd Wright Dr
Suite L 2200
Ann Arbor, MI 48105-9484
Phone (734) 930-4020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0H24828 | Other | MI | BCBS OF MI PIN |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161101002490 | MI | Practitioner - Clinical Psychologist | 6204114838 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Wright State University Boonshoft School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emmaus Health Partners
Practice addresses (Care Compare)
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484
Phone (734) 930-4020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emmaus Health Partners | Current | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
Interoperability endpoints
- https://api.platform.athenahealth.com/11144/brand/1/csg/1/fhir/r4
- james.tabeling.1@11144.direct.athenahealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477008000000",
"number": "1649721986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR",
"address_2": "SUITE L 2200",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-930-4020",
"fax_number": "734-930-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR",
"address_2": "SUITE L 2200",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-930-4020",
"fax_number": "734-930-4020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABELING",
"first_name": "JAMES",
"credential": "PSY. D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-21",
"last_updated": "2016-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301009406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI PIN",
"identifier": "0H24828",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.