DR. RONALD DALE FANDRICK (NPI# 1881762250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881762250 |
| Entity Type | Individual |
| Full Name | DR. RONALD DALE FANDRICK |
| Credential | PH.D. |
| Practice Address |
3815 W Saint Joseph St Ste A400 Lansing MI 48917-5600 |
| Mailing Address |
333 Stoll Rd Lansing MI 48917-3418 |
| Practice Telephone | 5173234531 |
| Practice Fax Number | 5173234531 |
| Mailing Telephone | 5172906228 |
| Mailing Fax Number | 5173234531 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2010-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301008822 | MI | Behavioral Health & Social Service Providers |
| Street Address |
3815 W SAINT JOSEPH ST STE A400 |
| City | LANSING |
| State | MI |
| Zip Code | 48917-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053937102 | Tawni Klein | Speech-Language Pathologist | 701 Snow Rd Suite A, Lansing, MI 48917 | 2020-06-24 |
| 1639700545 | Steevens Pierre Mirville | Technician | 5814 Cabrena Drive, Lansing, MI 48917 | 2020-01-29 |
| 1376197830 | Cheryl Ann Day | Physical Therapist | 7107 Treasure Isle, Lansing, MI 48917 | 2019-08-01 |
| 1912423849 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 419 Lentz Ct, Lansing, MI 48917 | 2017-08-22 |
| 1215367149 | Thomas Ball | Pharmacist | 5125 W Saginaw, Lansing, MI 48917 | 2013-11-13 |
| 1144658659 | Eaton Care Center, LLC | Skilled Nursing Facility | 12200 Broadbent, Lansing, MI 48917 | 2013-10-18 |
| 1154768596 | Casey Stokes | Physical Therapist | 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 | 2013-05-24 |
| 1164774659 | Bona Birki Gada | Pharmacist | 2410 W. Willow St, Apt A203, Lansing, MI 48917 | 2012-10-08 |
| 1497037584 | Fms Lansing, LLC | Clinic/Center | 916 Mall Drive East, Suite 100, Lansing, MI 48917 | 2011-09-14 |
| 1326332396 | Talitha P Easterly | Psychologist | 302 South Waverly, Suite 1, Lansing, MI 48917 | 2011-06-07 |
| Find all providers in zip 48917 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154952224 | Nicha Amy Nasamran | Psychologist | 2929 Covington Ct Unit 201, Lansing, MI 48912-4940 | 2020-01-28 |
| 1326447020 | Saving Lives Inc. | Psychologist | 17125 Bernadine St, Lansing, IL 60438-1473 | 2014-08-19 |
| 1700177227 | A New Hope Counseling Center | Psychologist | 3815 W St Joe St Ste A400, Lansing, MI 48917-5600 | 2011-05-02 |
| 1700073228 | Hilton Tellis Thomas | Psychologist | 302 S Waverly Rd, Suite 1, Lansing, MI 48917-3631 | 2007-09-28 |
| 1144373812 | Mark Cannizzaro | Psychologist | 120 N Washington Sq Ste 300, Lansing, MI 48933-1658 | 2007-01-18 |
| 1114083870 | Winfred Joseph Smith | Psychologist | 913 W Holmes Rd Ste 143b, Lansing, MI 48910-0435 | 2006-12-28 |
| 1679641583 | Patricia Resek Longan | Psychologist | 6500 Centurion Drive, Suite 260, Lansing, MI 48917-8240 | 2006-11-30 |
| 1346335890 | Roberta Tekotte Hale | Psychologist | 1540 Lake Lansing Rd., Suite 101, Lansing, MI 48912 | 2006-10-03 |
| 1467552901 | Richard Henry Thornes | Psychologist | 1020 S Creyts Rd Ste 307, Lansing, MI 48917-8236 | 2006-09-24 |
| 1184638587 | Melinda J Simon | Psychologist | 5123 W St Joe Hwy, Suite 103, Lansing, MI 48917-4093 | 2006-07-28 |
| Find all providers in LANSING | ||||
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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.