Robert Babak Bastanfar, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301014684 Issued in MI

Practice address

3887 Roxbury Ave
Okemos, MI 48864-3623

Phone

(517) 749-1356

NPI assigned

Aug 26, 2011

Sex

Male

Sole proprietor

No

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, 2009

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 and National Provider Directory roles.

• Robert Bastanfar PHD LP

  • Counseling Psychologist
  • Okemos, MI
  • NPI 1497168264
  Medicare reassignment Authorized official
• Psychological Associates in Rehabilitation PC

  • Clinical Neuropsychologist
  • Lansing, MI
  • NPI 1760434641
  Medicare reassignment NPD

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1992085534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3887 ROXBURY AVE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643623",
            "telephone_number": "517-749-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3887 ROXBURY AVE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643623",
            "telephone_number": "517-749-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTANFAR",
        "first_name": "ROBERT",
        "middle_name": "BABAK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-26",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301014684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Brooke Barry, LMSW
• Leslie Bartlett
• Annette Barton, LMSW, ACSW, BCD
• Lawand Barwary
• William Bass
• Jessica Anne Bates, AGNP
• Andrea Rachel Baumann, PTA
• Kathryn Elizabeth Baumgartner, DO
• Linda Baydoun, PHARMD
• BC Collective of Ga LLC

• Counseling Psychologist in Okemos, MI
• Providers in Okemos, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.