MR. ROBERT BRUCE FANE (NPI# 1144313248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144313248 |
| Entity Type | Individual |
| Full Name | MR. ROBERT BRUCE FANE |
| Credential | ED.D |
| Practice Address |
1011 Lehman Ave Suite 103 Bowling Green KY 42103-6515 |
| Practice Telephone | 2703939833 |
| Practice Fax Number | 2703939835 |
| Mailing Telephone | 2703939833 |
| Mailing Fax Number | 2703939835 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1104 | KY | Behavioral Health & Social Service Providers |
| Street Address |
1011 LEHMAN AVE SUITE 103 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-6515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275522146 | William Pfohl | Psychologist | 1011 Lehman Ave, Suite 106 Box 6, Bowling Green, KY 42103-6502 | 2005-10-13 |
| 1265894836 | Nan Higgins | Counselor | 1011 Lehman Ave, Suite 103, Bowling Green, KY 42103-6515 | 2016-03-23 |
| 1467814012 | Nan Higgins Lpcc LLC | Counselor | 1011 Lehman Ave, Ste. 103, Bowling Green, KY 42103-6515 | 2016-03-23 |
| 1114332947 | Gina Roebuck | Case Manager/Care Coordinator | 1011 Lehman Ave, Suite 103, Bowling Green, KY 42103-6515 | 2014-07-01 |
| 1932521044 | Ginger Vanmeter LLC | Social Worker | 1011 Lehman Ave, Suite 103, Bowling Green, KY 42103-6515 | 2014-01-08 |
| 1518239862 | Cpcfs/robert Fane Agency | Community/Behavioral Health | 1011 Lehman Ave, Suite 103, Bowling Green, KY 42103-6515 | 2012-02-02 |
| 1568739282 | Erin Michelle Clark | Counselor | 1011 Lehman Ave, Suite 103, Bowling Green, KY 42103-6515 | 2011-11-23 |
| 1639341126 | Robert Fane Agency, LLCp | Psychologist | 1011 Lehman Ave, Suite 103, Bowling Green, KY 42103-6515 | 2008-03-25 |
| 1316167034 | Paul S Markle | Marriage & Family Therapist | 1011 Lehman Ave, Suite 103, Bowling Green, KY 42103-6515 | 2007-04-26 |
| 1548394943 | Anam Cara, LLC | Psychologist | 1011 Lehman Ave, Suite 104, Bowling Green, KY 42103-6515 | 2007-03-15 |
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|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
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| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275522146 | William Pfohl | Psychologist | 1011 Lehman Ave, Suite 106 Box 6, Bowling Green, KY 42103-6502 | 2005-10-13 |
| 1639341126 | Robert Fane Agency, LLCp | Psychologist | 1011 Lehman Ave, Suite 103, Bowling Green, KY 42103-6515 | 2008-03-25 |
| 1134131428 | Lisa Hayes | Psychologist | 1212 Ashley Cir Ste 3, Bowling Green, KY 42104-5821 | 2006-08-13 |
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|---|---|---|---|---|
| 1013307545 | Karen Hutcheson | Psychologist | 9720 Park Plaza Ave Unit 103, Louisville, KY 40241-2289 | 2015-02-04 |
| 1063813491 | Julie Marie Greenwell | Psychologist | 2823 Frankfort Ave, Louisville, KY 40206-2639 | 2014-09-04 |
| 1841530722 | Stelios Jack Stylianou | Psychologist | 548 Brentwood Ave, Louisville, KY 40215-2844 | 2013-02-28 |
| 1144565888 | Nicole Ann Begg | Psychologist | 740 S Limestone L404, Lexington, KY 40536-1059 | 2012-12-06 |
| 1518136720 | Dale Allan Owens | Psychologist | 206 S 6th St, Murray, KY 42071-2516 | 2008-02-22 |
| 1356407365 | Steven Robert Hoersting | Psychologist | 7000 Houston Rd Bldg 200, Suite 21, Florence, KY 41042-4873 | 2006-12-28 |
| 1992899611 | Bryan D Carter | Psychologist | 200 East Chestnut Street, Louisville, KY 40202 | 2006-10-03 |
| 1245845163 | Morgan Daffin | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-09-09 |
| 1053934612 | Kayla N Larosa | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-05-18 |
| 1528552627 | Paul Jerome Rosen | Psychologist | 912 Lily Creek Rd Ste 201, Louisville, KY 40243-2815 | 2018-06-21 |
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| City | BOWLING GREEN |
| Zip Code | 42103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.