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3960 Patient Care Way Suite 104 Lansing MI 48911-4275 | |
| (517) 887-9801 | |
| (517) 887-9826 |
| Full Name | |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3960 Patient Care Way, Lansing, Michigan |
| Authorized Official Name and Position | Robert J Fabiano (EXECUTIVE DIRECTOR PSYCHOLOGIST) |
| Authorized Official Contact | 5178879801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3960 Patient Care Way Suite 104 Lansing MI 48911-4275 Ph: (517) 887-9801 | 3960 Patient Care Way Suite 104 Lansing MI 48911-4275 Ph: (517) 887-9801 |
| NPI Number | 1760434641 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 03/11/2008 |
| Medicare PECOS PAC ID | 2860388675 |
|---|---|
| Medicare Enrollment ID | O20040226000932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760434641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (Michigan) | Primary |
| Provider Name | Brooke E Vanburen-hay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043277239 PECOS PAC ID: 9234106329 Enrollment ID: I20040916001122 |
| Provider Name | Robert J Fabiano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629157185 PECOS PAC ID: 1759277569 Enrollment ID: I20041013000443 |
| Provider Name | Vicki Jo Hawkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689615338 PECOS PAC ID: 6002870995 Enrollment ID: I20041119000435 |
| Provider Name | Robert Bastanfar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992085534 PECOS PAC ID: 5799945135 Enrollment ID: I20120322000412 |
| Provider Name | Jasmine Starr Emerick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255744413 PECOS PAC ID: 8123323607 Enrollment ID: I20160222000530 |
| Provider Name | Julie Simensky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538172283 PECOS PAC ID: 8527028752 Enrollment ID: I20210226001671 |
| Provider Name | Micheal Evans Shafer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750449492 PECOS PAC ID: 9739594698 Enrollment ID: I20210226001981 |
| Provider Name | Charla Marie Yingling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750864203 PECOS PAC ID: 1355745480 Enrollment ID: I20210811000911 |
| Provider Name | Paige Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306131636 PECOS PAC ID: 3971856659 Enrollment ID: I20221024000798 |
| Provider Name | Todd Westfall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356586408 PECOS PAC ID: 3072964493 Enrollment ID: I20240110003330 |
| Provider Name | Anne Nesvacil Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407279201 PECOS PAC ID: 9537510748 Enrollment ID: I20240111002042 |
| Provider Name | Jarhed Macarubbo Pena |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891419727 PECOS PAC ID: 3779934922 Enrollment ID: I20240111003897 |
| Provider Name | Mariah Fabiano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457178576 PECOS PAC ID: 1759812043 Enrollment ID: I20240926003267 |
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Psychological Associates In Rehabilitation Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3960 Patient Care Way, Suite 104, Lansing, MI 48911 Phone: 517-887-9801 Fax: 517-887-9826 |