ROBERT FANE AGENCY, LLCP
NPI 1639341126
Psychologist - Clinical Child & Adolescent in Bowling Green, KY

NPI Status: Active since March 25, 2008

Contact Information

1011 LEHMAN AVE
SUITE 103
BOWLING GREEN, KY
ZIP 42103
Phone: (270) 393-9833
Fax: (270) 393-9835

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent

About ROBERT FANE AGENCY, LLCP

This page provides the complete NPI Profile along with additional information for Robert Fane Agency, Llcp, a provider established in Bowling Green, Kentucky operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1639341126 assigned on March 2008. The practitioner's primary taxonomy code is 103TC2200X with license number 1104 (KY). The provider is registered as an organization and their NPI record was last updated 11 years ago. Robert Fane Agency, Llcp operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Robert Bruce Fane Ed.d (Owner)

NPI
1639341126
Provider Name
ROBERT FANE AGENCY, LLCP
Entity Type
Organization
Location Address
1011 LEHMAN AVE SUITE 103 BOWLING GREEN, KY 42103
Location Phone
(270) 393-9833
Location Fax
(270) 393-9835
Mailing Address
1011 LEHMAN AVE SUITE 103 BOWLING GREEN, KY 42103
Mailing Phone
(270) 393-9833
Mailing Fax
(270) 393-9835
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-25-2008
Last Update Date
10-21-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
1104
License State
KY
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT BRUCE FANE ED.D

Authorized Official Title
OWNER
Authorized Official Phone
(270) 393-9833

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
29200912MEDICAID (05)KY 
29100914MEDICAID (05)KY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639341126
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266964214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 4 + 2 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1639341126 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275522146 WILLIAM PFOHL PSYD
Individual
Psychologist (Clinical Child & Adolescent)1011 LEHMAN AVE SUITE 106 BOX 6
BOWLING GREEN, KY 42103
(270) 782-9996
1326172727 MARY MICHELE THOMAS PH.D.
Individual
Psychologist (Clinical)1011 LEHMAN AVE SUITE 104
BOWLING GREEN, KY 42103
(270) 843-8233
1316167034 PAUL S MARKLE LMFT
Individual
Marriage & Family Therapist1011 LEHMAN AVE SUITE 103
BOWLING GREEN, KY 42103
(270) 393-9833
1568739282MRS. ERIN MICHELLE CLARK LPCC
Individual
Counselor (Mental Health)1011 LEHMAN AVE SUITE 103
BOWLING GREEN, KY 42103
(270) 393-9833
1518239862CPCFS/ROBERT FANE AGENCY
Organization
Community/Behavioral Health1011 LEHMAN AVE SUITE 103
BOWLING GREEN, KY 42103
(270) 393-9833
1134212335ASSOCIATES IN COUNSELING AND PSYCHOLOGY, LLC
Organization
Psychologist (Counseling)1011 LEHMAN AVE SUITE 103
BOWLING GREEN, KY 42103
(270) 393-9833
1144313248MR. ROBERT BRUCE FANE ED.D
Individual
Psychologist (Clinical Child & Adolescent)1011 LEHMAN AVE SUITE 103
BOWLING GREEN, KY 42103
(270) 393-9833
1114332947 GINA ROEBUCK
Individual
Case Manager/Care Coordinator1011 LEHMAN AVE SUITE 103
BOWLING GREEN, KY 42103
(270) 393-9833
1548394943ANAM CARA, LLC
Organization
Psychologist (Clinical)1011 LEHMAN AVE SUITE 104
BOWLING GREEN, KY 42103
(270) 843-8233
1467814012NAN HIGGINS LPCC LLC
Organization
Counselor (Professional)1011 LEHMAN AVE STE. 103
BOWLING GREEN, KY 42103
(270) 799-5000
1265894836 MARSHA NAN POLAND COOPER
Individual
Counselor (Professional)1011 LEHMAN AVE SUITE 103
BOWLING GREEN, KY 42103
(270) 799-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639341126, enumerated in the NPI registry as an "organization" on March 25, 2008

The provider is located at 1011 Lehman Ave Suite 103 Bowling Green, Ky 42103 and the phone number is (270) 393-9833

This medical organization specializes in Psychologist with taxonomy code 103TC2200X with a focus in Clinical Child & Adolescent

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 25, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.