DR. JOEL K FAIRBANKS (NPI# 1992883417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992883417 |
| Entity Type | Individual |
| Full Name | DR. JOEL K FAIRBANKS |
| Credential | PH.D. |
| Practice Address |
8474 University Parkway Pensacola FL 32514 |
| Mailing Address |
Po Box 18487 Pensacola FL 32523-8487 |
| Practice Telephone | 8503844125 |
| Mailing Telephone | 8504781312 |
| Mailing Fax Number | 8504749060 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY0004557 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | VALUE OPTIONS | 104720 | 01 |
| FL | BLUE CROSS BLUE SHIELD | 73807 | 01 |
| Street Address |
8474 UNIVERSITY PARKWAY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| 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 |
|---|---|---|---|---|
| 1972033694 | Melissa Lane | Psychologist | 701 W Mallory St, Pensacola, FL 32501-6319 | 2017-06-14 |
| 1033486659 | Angela P Hatcher | Psychologist | 190 Radford Blvd, Pensacola, FL 32508-5215 | 2011-11-28 |
| 1871805663 | Megan M Stodard | Psychologist | 25 W Cedar St Ste 120, Pensacola, FL 32502-5945 | 2010-07-08 |
| 1447499223 | Rebecca Kennedy | Psychologist | 310 E Government St Ste C-2, Pensacola, FL 32502-6508 | 2009-02-18 |
| 1417193608 | Timothy J Donovan | Psychologist | 1521 N 14th Ave, Pensacola, FL 32503-5611 | 2008-12-18 |
| 1144494865 | Leasha Barry | Psychologist | 1602 Governors Dr Apt 1607, Pensacola, FL 32514-9435 | 2008-04-14 |
| 1366580268 | Cheryl E. Poche Knowles | Psychologist | 900 Gardengate Circle, Pensacola, FL 32504-8629 | 2007-02-02 |
| 1962561753 | Cheryl Ann Robatzen | Psychologist | 5760 Leesway Blvd, Pensacola, FL 32504-7728 | 2006-12-07 |
| 1538247507 | Donald W Winslett | Psychologist | 900 Garden Gate Cir, Pensacola, FL 32504-8629 | 2006-11-01 |
| 1164535514 | Louis M. Makarowski | Psychologist | 5120 Bayou Blvd, Suite #6, Pensacola, FL 32503-2193 | 2006-08-17 |
| Find all providers in PENSACOLA | ||||
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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.