REBECCA ELLEN FANTON PH.D.
NPI 1205941291
Clinical Neuropsychologist in Springfield, MA

Active since August 20, 2006Opted out of Medicare · through Apr 1, 2027
367 PINE ST, SPRINGFIELD, MA 01105(413) 737-1426 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rebecca Ellen Fanton Ph.d. NPPES

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

REBECCA ELLEN FANTON PH.D. (NPI 1205941291) is an individual clinical neuropsychologist in Springfield, Massachusetts, licensed in Massachusetts (8515) and active in the NPI registry since August 2006. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205941291
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameREBECCA ELLEN FANTONCredential: PH.D.
Location Address367 PINE STSpringfield, MA 01105-1930
Mailing Address37 Harris StAmherst, MA 01002-1318 · (413) 549-6494
Sole ProprietorYes
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205941291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in MA · 8515
Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

367 PINE ST, Springfield, MA 01105

Other Names 1

Former Name (1)Rebecca Ellen Ready Ph.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Rebecca Ellen Fanton Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
367 PINE ST
SPRINGFIELD, MA 01105
Social Worker (Clinical)
367 PINE ST
SPRINGFIELD, MA 01105
Counselor (Mental Health)
367 PINE ST
SPRINGFIELD, MA 01105
Social Worker (Clinical)
367 PINE ST
SPRINGFIELD, MA 01105
Social Worker (Clinical)
367 PINE ST
SPRINGFIELD, MA 01105
Counselor (Addiction (Substance Use Disorder))
367 PINE ST
SPRINGFIELD, MA 01105
Counselor (Mental Health)
367 PINE ST
SPRINGFIELD, MA 01105
Social Worker (Clinical)
367 PINE ST
SPRINGFIELD, MA 01105

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 Rebecca Fanton's NPI number?

The NPI number for Rebecca Fanton is 1205941291. It was assigned to this individual provider in the NPPES registry on August 20, 2006. The provider is also known as Rebecca Ellen Ready Ph.D..

Where is Rebecca Fanton located?

Rebecca Fanton practices at 367 Pine St, Springfield, MA 01105. The listed phone number is (413) 737-1426.

What is Rebecca Fanton's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Rebecca Fanton enrolled in Medicare?

No. Rebecca Fanton has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Rebecca Fanton was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.