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FAIRSKY FOUNDATION
NPI 1033595665
Clinic/Center - Multi-Specialty in Ferndale, MI

Active since August 05, 2015
23231 WOODWARD AVE, FERNDALE, MI 48220(248) 581-8777(888) 975-9374 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2022, Apr 7, 2022, Feb 3, 2022 (3 updates tracked since 2022).

About Fairsky Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRSKY FOUNDATION (NPI 1033595665) is a healthcare organization registered as a multi-specialty in Ferndale, Michigan and active in the NPI registry since August 2015. The organization maintains 6 additional practice locations and lists David St. John, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1033595665
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameFAIRSKY FOUNDATION
Location Address23231 WOODWARD AVEFerndale, MI 48220-1361
Mailing Address23231 Woodward AveFerndale, MI 48220-1361 · (248) 581-8777 · Fax (888) 975-9374
Phone(248) 581-8777
Fax(888) 975-9374
Organization SubpartNo
Authorized OfficialDavid St. JohnExecutive Director · (248) 581-8777
Enumeration DateAugust 5, 2015
Last NPPES UpdateAugust 23, 20223 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1033595665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
23231 WOODWARD AVE, Ferndale, MI 48220
Open in Google Maps ↗

Secondary Practice Locations 6

Location 1124 Pearl St Ste 303Ypsilanti, MI 48197-2663 · Phone (248) 581-8777 · Fax (888) 975-9374
Location 2464 N Main StPlymouth, MI 48170-1347 · Phone (248) 581-8777 · Fax (888) 975-9374
Location 32020 Raybrook St SE Ste 203Grand Rapids, MI 49546-7717 · Phone (248) 581-8777 · Fax (888) 975-9374
Location 41300 Broadway St Ste 400Detroit, MI 48226-2202 · Phone (248) 581-8777 · Fax (888) 975-9374
Location 5230 Collingwood St Ste 250Ann Arbor, MI 48103-3845 · Phone (248) 581-8777 · Fax (888) 975-9374
Location 61367 Andrews Ave LowrLakewood, OH 44107-2405 · Phone (248) 581-8777 · Fax (888) 975-9374

Other Identifiers 1

MedicaidCV0058149MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairsky Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Fairsky Foundation, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Clinical Social Worker10
Clinical Psychologist5

Clinicians, nearest first (15)

Christopher Bober, LP
Clinical Psychologist
NPI 1144599077
23231 WOODWARD AVE
Ferndale, MI 48220
(248) 581-8777
✔ PECOS✔ Accepts MedicareSame address
Melissa Chivis, LMSW
Clinical Social Worker
NPI 1902215445
23231 WOODWARD AVE
Ferndale, MI 48220
(248) 581-8777
✔ PECOS✔ Accepts MedicareSame address
Hilary Johnson, LLMSW
Clinical Social Worker
NPI 1174100960
23231 WOODWARD AVE
Ferndale, MI 48220
(248) 581-8777
✔ PECOSSame address
Staci Kent, LLMSW
Clinical Social Worker
NPI 1225506371
23231 WOODWARD AVE
Ferndale, MI 48220
(313) 426-4016
✔ PECOS✔ Accepts MedicareSame address
Katherine O'connor-Price, LMSW
Clinical Social Worker
NPI 1487203550
23231 WOODWARD AVE
Ferndale, MI 48220
(248) 581-8777
✔ PECOS✔ Accepts MedicareSame address
Ellen Shansky, LMSW
Clinical Social Worker
NPI 1417573841
23231 WOODWARD AVE
Ferndale, MI 48220
(248) 581-8777
✔ PECOS✔ Accepts MedicareSame address
David St John, PHD, LP
Clinical Psychologist
NPI 1760400774
23231 WOODWARD AVE
Ferndale, MI 48220
(734) 325-0491
✔ PECOS✔ Accepts MedicareSame address
Kimberly Sabra
Clinical Psychologist
NPI 1346751310
882 OAKMAN BLVD
Detroit, MI 48238
(313) 967-5959
✔ PECOS✔ Accepts Medicare4.4 mi
Noel Ullery, LMSW
Clinical Social Worker
NPI 1144837485
6011 JOY RD
Detroit, MI 48204
(313) 455-0129
✔ PECOS7.2 mi
Ayana Simmons, PSYD, LP
Clinical Psychologist
NPI 1326460734
3200 GREENFIELD RD STE 300
Dearborn, MI 48120
(313) 420-3329
✔ PECOS✔ Accepts Medicare11 mi
Deborah Mcmillan, LMSW
Clinical Social Worker
NPI 1649311499
460 FLAMINGO ST
Rochester Hills, MI 48309
(248) 229-5245
✔ PECOS✔ Accepts Medicare12 mi
Cate Clarke, MSW, LCSW
Clinical Social Worker
NPI 1801431887
3150 PACKARD RD STE 6
Ypsilanti, MI 48197
(734) 787-6943
✔ PECOS✔ Accepts Medicare31 mi
Eric Vest, LMSW
Clinical Social Worker
NPI 1043773054
35 RESEARCH DR
Ann Arbor, MI 48103
(734) 682-5544
✔ PECOS33 mi
Hannah Allen-Miller, LP
Clinical Psychologist
NPI 1679789804
2020 RAYBROOK ST SE STE 203
Grand Rapids, MI 49546
(248) 581-8777
✔ PECOS129 mi
Tyler Romero, LMSW
Clinical Social Worker
NPI 1679295539
4010 CENTRAL AVE
St Petersburg, FL 33711
(727) 327-7656
✔ PECOS✔ Accepts Medicare1,013 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairsky Foundation's NPI number?

The NPI number for Fairsky Foundation is 1033595665. It was assigned to this organization in the NPPES registry on August 5, 2015.

Where is Fairsky Foundation located?

Fairsky Foundation is located at 23231 Woodward Ave, Ferndale, MI 48220. The listed phone number is (248) 581-8777.

What is Fairsky Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Fairsky Foundation enrolled in Medicare?

Yes. Fairsky Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairsky Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Fairsky Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (10) and Clinical Psychologist (5). Of these, 7 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fairsky Foundation accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Fairsky Foundation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fairsky Foundation was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.