Active NPI
Michelle Fair
- School Psychologist
- Willoughby, OH
National Provider Identifier
1871497792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- .LSP02201
- Practice address
- 5288 Karen Isle Dr
Willoughby, OH 44094-4376 - Phone
- (440) 283-2286
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | .LSP02201 | OH | Primary |
Addresses
Primary practice location
5288 Karen Isle Dr
Willoughby, OH 44094-4376
Mailing address
5288 Karen Isle Dr
Willoughby, OH 44094-4376
Phone (440) 283-2286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| .LSP02201 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1871497792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5288 KAREN ISLE DR",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944376",
"telephone_number": "440-283-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5288 KAREN ISLE DR",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944376",
"telephone_number": "440-283-2286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIR",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": ".LSP02201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.