Active NPI
Psychological Associates in Rehabilitation PC
- Clinical Neuropsychologist
- Lansing, MI
National Provider Identifier
1760434641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- PSYCHOLOGICAL ASSOCIATES IN REHABILITATION PC
- Practice address
- 3960 Patient Care Way
Suite 104
Lansing, MI 48911-4275 - Phone
- (517) 887-9801
- Fax
- (517) 887-9826
- NPI assigned
- May 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert J Fabiano, PHD
- Title
- Executive Director Psychologist
- Phone
- (517) 887-9801
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | MI | 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
Other names 1
- PAR Rehab Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040226000932 | MI | Part B Supplier - Clinic/Group Practice | 2860388675 |
Receives reassigned benefits from 11 practitioners Practice locations: Grand Rapids, MI; Lansing, MI |
National Provider Directory
National Provider Directory- Tax ID family
- Par Rehab Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- Lansing, MI
- NPI 1033448444
Locations
3960 Patient Care Dr
Ste 104
Lansing, MI 48911
Phone (517) 887-9801
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rehabilitation Psychologist
- Lansing, MI
- NPI 1629157185
Clinical Neuropsychologist, MI
-
- Clinical Neuropsychologist
- Lansing, MI
- NPI 1306131636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205193600000",
"number": "1760434641",
"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": {
"organization_name": "PSYCHOLOGICAL ASSOCIATES IN REHABILITATION PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2008-03-11",
"status": "A",
"authorized_official_last_name": "FABIANO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR PSYCHOLOGIST",
"authorized_official_telephone_number": "517-887-9801",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PAR Rehab Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.