LAURA W FADELL LLP
NPI 1184738676
Psychologist - Clinical in Port Huron, MI

NPI Status: Active since August 19, 2006

Contact Information

520 SUPERIOR ST
PORT HURON, MI
ZIP 48060
Phone: (810) 984-4202

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  • Individual
  • Female
  • Years of Experience 17
  • Psychologist
  • Clinical
  • PECOS Enrolled
  • May Accept Medicare Approved Payment

About LAURA FADELL

Laura Fadell is a provider established in Port Huron, Michigan and her medical specialization is Psychologist with a focus in clinical with more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1184738676 assigned on August 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 6301012038 (MI). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1184738676
Provider Name
LAURA W FADELL LLP
Gender
Female
Entity Type
Individual
Location Address
520 SUPERIOR ST PORT HURON, MI 48060
Location Phone
(810) 984-4202
Mailing Address
520 SUPERIOR ST PORT HURON, MI 48060
Mailing Phone
(810) 984-4202
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
08-19-2006
Last Update Date
07-08-2007
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A clinical psychologist like Laura Fadell assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Laura Fadell is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

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

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
6301012038
License State
MI
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Insurance Plans Accepted

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

  • McLaren Health Plan Community

    • MHP Bronze - HMO
    • MHP Bronze Saver - HMO
    • MHP Bronze VCP - HMO
    • MHP Expanded Bronze Standard - HMO
    • MHP Gold - HMO
    • MHP Gold Standard - HMO
    • MHP Gold VCP - HMO
    • MHP Silver Exchange - HMO
    • MHP Silver Exchange Rewards - HMO
    • MHP Silver Exchange VCP - HMO
    • MHP Silver Standard - HMO
    • MHP Young Adult/Catastrophic - HMO
  • Priority Health

    • MyPriority Balanced Silver - HMO
    • MyPriority Balanced Silver Bronson Healthcare Partners - HMO
    • MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
    • MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
    • MyPriority Balanced Silver Southeast Michigan Network - HMO
    • MyPriority Balanced Silver Trinity Health East Network - HMO
    • MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
    • MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
    • MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
    • MyPriority Enhanced Gold Southeast Michigan Network - HMO
    • MyPriority Enhanced Gold Trinity Health East Network - HMO
    • MyPriority Premier Silver - HMO
    • MyPriority Premier Silver Bronson Healthcare Partners - HMO
    • MyPriority Premier Silver Corewell Health West Michigan Network - HMO
    • MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
    • MyPriority Premier Silver Southeast Michigan Network - HMO
    • MyPriority Premier Silver Trinity Health East Network - HMO
    • MyPriority Standard Bronze - HMO
    • MyPriority Standard Bronze - Bronson Healthcare Partners - HMO
    • MyPriority Standard Bronze - Corewell Health West Michigan Network - HMO

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

PECOS Enrollment and Medicare Participation Status

Laura Fadell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2264691237

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120310000022

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48060 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $172.8
  • Minimum New Patient Price $56.39
  • Maximum New Patient Price $172.8
  • Average New Patient Copayment $43.2
  • Minimum New Patient Copayment $14.09
  • Maximum New Patient Copayment $43.2

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.65
  • Minimum Established Patient Price $17.24
  • Maximum Established Patient Price $140.86
  • Average Established Patient Copayment $25.16
  • Minimum Established Patient Copayment $4.31
  • Maximum Established Patient Copayment $35.21

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 102

    Psychotherapy, 60 minutes (HCPCS:90837)

  • 45

    Neuropsychological testing evaluation by qualified health care professional, first 60 minutes (HCPCS:96132)

  • 24

    Psychiatric diagnostic evaluation (HCPCS:90791)

Reviews for LAURA W FADELL LLP

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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.
1184738676
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2116414316614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 4 + 3 + 1 + 6 + 6 + 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 1184738676 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033152459 LYNNE M ANDERSON
Individual
Social Worker (Clinical)520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1295746022 RICHARD JAY BOSSCHER LMSW
Individual
Counselor (Mental Health)520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1922111723 KARRIE J PAWSON LPC
Individual
Counselor (Mental Health)520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1396858304DR. PATRICIA A AVIGNONE PH.D.
Individual
Counselor (Mental Health)520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1487767380 ALISA K NELSON LLP
Individual
Counselor (Mental Health)520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1881707883 LISA E MARTIN LMSW
Individual
Counselor (Mental Health)520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1437262342 KIRSTEN T VAZQUEZ LMSW
Individual
Counselor (Mental Health)520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1366555286 MICHELLE M ROUSSEAU PSY.D.
Individual
Psychologist (Clinical)520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1275646127 NANCY A PFEIFER LBSW
Individual
Counselor (Mental Health)520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1962515577 THOMAS A SEILHEIMER PH.D.
Individual
Psychologist (Clinical)520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1013013432 KARI KATHLEEN TREMPLER LLPC
Individual
Counselor (Mental Health)520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1326247925MRS. KATHLEEN M HAGGERTY MSW
Individual
Social Worker (Clinical)520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1588842660 ALFONSO BERMEA LPC
Individual
Counselor (Mental Health)520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1316199532 CAROLINE SUSAN WILLIS LLPC
Individual
Counselor (Mental Health)520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1487809042 RACHAEL KRUPA LLPC
Individual
Counselor520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1003041682 REBECCA LYNN GUERRA M.A., LLPC
Individual
Counselor (Professional)520 SUPERIOR ST
PORT HURON, MI 48060
(810) 455-0102
1154608800 JENNIFER JEAN NICHOLS LPC
Individual
Counselor (Professional)520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1306289673 DEBORAH LYNN ZIEGLER
Individual
Counselor (Mental Health)520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1942643218 JESSICA LEENKNEGT
Individual
Counselor520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202
1841633112 NATHAN MAXON WOODARD
Individual
Counselor520 SUPERIOR ST
PORT HURON, MI 48060
(810) 984-4202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184738676, enumerated in the NPI registry as an "individual" on August 19, 2006

The provider is located at 520 Superior St Port Huron, Mi 48060 and the phone number is (810) 984-4202

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider has more than 17 years of experience.

The provider might be accepting Accepts: McLaren Health Plan Community and Priority Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 14, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $172.8 with an average copayment of $43.2 for new patient appointments. Established patients should expect a typical charge of $100.65 and an average copayment of 25.16. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Psychotherapy, 60 minutes, Neuropsychological testing evaluation by qualified health care professional, first 60 minutes and Psychiatric diagnostic evaluation.

This NPI record was last updated on August 19, 2006. 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.