Jayne Fabry, PTC Associates

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301008864 Issued in MI

Legal business name

JAYNE FABRY, PTC ASSOCIATES

Practice address

1651 W Centre Ave
Portage, MI 49024-6312

Phone

(269) 552-9832

NPI assigned

Sep 15, 2007

Organization subpart

No

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

Authorized official

Name

Jayne Fabry, CLINICAL PSYCHOLOGIS

Title

Owner

Phone

(269) 552-9832

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Professional Therapy Consultation Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Kathleen Steeg, LPC

  • Professional Counselor
  • Kalamazoo, MI
  • NPI 1235342262
  NPD (past)

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1952597767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490246312",
            "telephone_number": "269-552-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490246312",
            "telephone_number": "269-552-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYNE FABRY, PTC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-15",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "FABRY",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-552-9832",
        "authorized_official_credential": "CLINICAL PSYCHOLOGIS"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0C913440",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Therapy Consultation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon-Earl S Jaramillo, PHARMD
• Aimee Jarchow
• Jared Hector DDS, PLLC
• Shelby Jarvis
• Jason Dopp DDS PLC
• Jeff&Lisa Corp
• Jeffrey J Riggs DDS PC
• Jeffrey Schimp, DDS PC
• Lucas Jenkins, DPT
• Jennifer Austin LMSW Mdiv LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.