Deborah R Fahr, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003516 Issued in VA

Practice address

2740 S Old Highway 14
Greer, SC 29650-4910

Phone

(276) 608-2211

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Abingdon Psychological Services

  • Clinical Psychologist
  • Abingdon, VA
  • NPI 1790886075
  NPD (past)
• Derm One, PLLC

  • Dermatology Physician
  • Bluefield, VA
  • NPI 1053493288
  NPD (past)
• Russell County Clinic Corp

  • Surgery Physician
  • Lebanon, VA
  • NPI 1285650374
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1811080054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 OLD S OLD HIGHWAY 14",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504910",
            "telephone_number": "276-608-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S OLD HIGHWAY 14",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504910",
            "telephone_number": "276-608-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHR",
        "first_name": "DEBORAH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811080054",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS ABINGDON LOCATION",
            "identifier": "354043",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Lee Everett Gollwitzer, D.C.
• Evolving Minds Therapy, LLC
• Exceed Health LLC
• Eye Associates of Carolina, PA
• Allison Lane Fagan, DMD
• Family Dental Health Group LLC
• Family Dental Health Group LLC (Family Dental Health of the Parkway)
• Family Dental Health of Greer, LLC
• Family Dental Health of Mountain View, LLC
• Family Therapy & Trauma Center

• Clinical Psychologist in Greer, SC
• Providers in Greer, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.