PSYCHOLOGICAL ASSOCIATES IN REHABILITATION PC (NPI# 1760434641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760434641 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL ASSOCIATES IN REHABILITATION PC |
| Other Organization Name | PAR REHAB SERVICES |
| Practice Address |
3960 Patient Care Way Suite 104 Lansing MI 48911-4275 |
| Practice Telephone | 5178879801 |
| Practice Fax Number | 5178879826 |
| Mailing Telephone | 5178879801 |
| Mailing Fax Number | 5178879826 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-03-11 |
| Authorized Official Name | DR. ROBERT J FABIANO (EXECUTIVE DIRECTOR PSYCHOLOGIST) |
| Authorized Official Telephone | 5178879801 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | MI | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| PAR Rehab Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033448444 | Psychological Associates In Rehabilitation PC | Psychologist | 3960 Patient Care Way, Suite 104, Lansing, MI 48911-4275 | 2009-12-14 |
| Street Address |
3960 PATIENT CARE WAY SUITE 104 |
| City | LANSING |
| State | MI |
| Zip Code | 48911-4275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245203645 | Ghiulser Selim | Family Medicine | 3960 Patient Care Way, Suite 108, Lansing, MI 48911-4275 | 2006-02-08 |
| 1528472008 | Tarsha Gibson | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2014-06-12 |
| 1407279201 | Anne Nesvacil Jones | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2014-01-29 |
| 1356764617 | Mary Hunter | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2014-01-22 |
| 1023449444 | Demarcus Evans | Social Worker | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2013-12-11 |
| 1982039798 | Meghan Diane Banks | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2013-09-11 |
| 1437591286 | T'shara Cannon | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2013-07-22 |
| 1902244361 | Amelia Louise Shelton | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2013-06-07 |
| 1154688943 | Capital Home Care, Inc. | Home Health | 3960 Patient Care Way, Suite 116, Lansing, MI 48911-4275 | 2012-04-18 |
| 1285907899 | Professional Associates In Rehabilitation LLC | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2012-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943603 | Promissa Personalized Care Services LLC | Assisted Living Facility | 200 E Edgewood Blvd, Lansing, MI 48911 | 2020-05-07 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1447713946 | Fadi Nuseibeh | Pharmacist | 3955 Patient Care Drive, Pharmacy, Lansing, MI 48911 | 2019-04-11 |
| 1740704543 | Kyle Lardie | Dental Hygienist | Care Free Medical and Dental 5135 S Pennsylvania Ave, Lansing, MI 48911 | 2017-08-02 |
| 1124549845 | Joash Michael Charles | Behavior Technician | 3720 Richmond Street, Lansing, MI 48911 | 2017-07-03 |
| 1205212164 | Benjamin Curtis Neal | Dentist | 5601 S Cedar St., Lansing, MI 48911 | 2015-08-03 |
| 1376927608 | Heather Lamb | Home Health | 2919 Risdale St, Lansing, MI 48911 | 2015-07-16 |
| 1669861712 | Lucas James Evan Joseph Bila | Licensed Practical Nurse | 2204 S. Wadsworth Dr, Lansing, MI 48911 | 2015-01-13 |
| 1649695271 | Aaron James Hart | Occupational Therapist | 3960 Patient Care Dr Ste 117, Lansing, MI 48911 | 2014-02-18 |
| 1831465871 | Los Equipment Corporation | Dentist | 6810 S. Cedar St, Suite 5, Lansing, MI 48911 | 2012-03-23 |
| Find all providers in zip 48911 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841252186 | Psych Services, Ltd | Clinical Neuropsychologist | 809 Center Street, Suite 8a, Lansing, MI 48906 | 2006-04-03 |
| 1629157185 | Robert J Fabiano | Clinical Neuropsychologist | 3960 Patient Care Way, Suite 104, Lansing, MI 48911-4275 | 2006-11-03 |
| 1023043569 | Edward C Cook | Clinical Neuropsychologist | 809 Center Street, Suite 8a, Lansing, MI 48906-5257 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046098 | Axon Psychology Group, PC | Clinical Neuropsychologist | 1377 Stonecreek Ct, Saint Joseph, MI 49085-9795 | 2020-08-31 |
| 1548814965 | Emily Nicole Robinett-ferrara | Clinical Neuropsychologist | 14050 Kingston St, Oak Park, MI 48237-1140 | 2019-07-25 |
| 1649782244 | Matthew Kadrich | Clinical Neuropsychologist | 3334 Rochester Rd # 205, Troy, MI 48083-5426 | 2017-11-04 |
| 1992237176 | Lauren Marie Golla | Clinical Neuropsychologist | 111 E Court St Ste 1b, Flint, MI 48502-1649 | 2017-03-28 |
| 1750839783 | Ace Psychological Consultants LLC | Clinical Neuropsychologist | 1920 Livernois Rd Ste D, Troy, MI 48083-1770 | 2016-09-20 |
| 1922556406 | Kenya Hameed | Clinical Neuropsychologist | 111 East Court St, Suite 1b-1, Flint, MI 48502 | 2016-09-14 |
| 1841609369 | Crystal Young | Clinical Neuropsychologist | 1550 E Beltline Ave Se, Suite 340, Grand Rapids, MI 49506-4301 | 2014-08-08 |
| 1497165146 | Woojin Song | Clinical Neuropsychologist | 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 | 2014-05-03 |
| 1831516152 | Ira Lourie, Psy.d., Pllc | Clinical Neuropsychologist | 30051 High Valley Rd, Farmington Hills, MI 48331-2144 | 2014-03-25 |
| 1306272042 | Erin Mark | Clinical Neuropsychologist | 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 | 2013-09-25 |
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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.