Ronald Dale Fandrick, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301008822 Issued in MI

Practice address

3815 W Saint Joseph St Ste A400
Lansing, MI 48917-5600

Phone

(517) 323-4531

Fax

(517) 323-4531

NPI assigned

Dec 1, 2006

Last updated

Jun 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• A New Hope Counseling Center

  • Psychologist
  • Lansing, MI
  • NPI 1700177227
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1881762250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 STOLL RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173418",
            "telephone_number": "517-290-6228",
            "fax_number": "517-323-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 W SAINT JOSEPH ST STE A400",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489175600",
            "telephone_number": "517-323-4531",
            "fax_number": "517-323-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANDRICK",
        "first_name": "RONALD",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Al Maha Faisal, MD
• Faith Health Systems
• Family Services LLC
• Family Therapy Connections
• Ting Fan, DO
• Xinyi Fang, LLPC
• Margaret Jean Fankhauser, D.O
• Syed Ahmed Farhan, MD
• Julia Farner, RN, FNP-BC
• Adam Matthew Farnum, NP

• Psychologist in Lansing, MI
• Providers in Lansing, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.

Verify at the official NPI Registry.