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

Q: What is Robert Fane Agency, Llcp's NPI number?

The NPI number for Robert Fane Agency, Llcp is 1639341126. It was assigned to this organization in the NPPES registry on March 25, 2008.

Q: What is Robert Fane Agency, Llcp's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Active since March 25, 2008

1011 LEHMAN AVE, SUITE 103, BOWLING GREEN, KY 42103(270) 393-9833(270) 393-9835 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Robert Fane Agency, Llcp NPPES

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

ROBERT FANE AGENCY, LLCP (NPI 1639341126) is a healthcare organization registered as a clinical child & adolescent in Bowling Green, Kentucky and active in the NPI registry since March 2008. The organization lists Robert Bruce Fane, Owner, as its authorized official.

NPPES Registry Identity

NPI1639341126

Entity TypeOrganization

Primary Taxonomy103TC2200X

Legal Business NameROBERT FANE AGENCY, LLCP

Location Address1011 LEHMAN AVE, SUITE 103Bowling Green, KY 42103-6515

Mailing Address1011 Lehman Ave, Suite 103Bowling Green, KY 42103-6515 · (270) 393-9833 · Fax (270) 393-9835

Phone(270) 393-9833

Fax(270) 393-9835

Organization SubpartNo

Authorized OfficialRobert Bruce FaneOwner · (270) 393-9833

Enumeration DateMarch 25, 2008

Last NPPES UpdateOctober 21, 2014

✔ NPI 1639341126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in KY · 1104

Definition

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.

1011 LEHMAN AVE, Bowling Green, KY 42103

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Other Identifiers 2

Medicaid29200912KY

Medicaid29100914KY

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 Anthem Blue Cross and Blue Shield.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)

Robert Fane Agency, Llcp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Robert Fane Agency, Llcp, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Robert Fane, ED.D

Clinical Psychologist

NPI 1144313248

1011 LEHMAN AVE SUITE 103
Bowling Green, KY 42103

(270) 393-9833

✔ PECOS✔ Accepts MedicareSame address

Meredith Fane, CSW

Clinical Social Worker

NPI 1609168350

1011 LEHMAN AVENUE SUITE 103
Bowling Green, KY 42103

(270) 393-9833

✔ PECOS✔ Accepts MedicareSame address

Christine Serafini-Sheffield, CSW

Clinical Social Worker

NPI 1730730532

1011 LEHMAN AVE STE 103
Bowling Green, KY 42103

(270) 393-9834

✔ PECOS✔ Accepts Medicare0.1 mi

Mersiha Demirovic

Clinical Social Worker

NPI 1942735485

1011 LEHMAN AVE STE 103
Bowling Green, KY 42103

(270) 393-9833

✔ PECOS0.1 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 Robert Fane Agency, Llcp's NPI number?

The NPI number for Robert Fane Agency, Llcp is 1639341126. It was assigned to this organization in the NPPES registry on March 25, 2008.

Where is Robert Fane Agency, Llcp located?

Robert Fane Agency, Llcp is located at 1011 Lehman Ave Suite 103, Bowling Green, KY 42103. The listed phone number is (270) 393-9833.

What is Robert Fane Agency, Llcp's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Robert Fane Agency, Llcp enrolled in Medicare?

Yes. Robert Fane Agency, Llcp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Robert Fane Agency, Llcp?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Robert Fane Agency, Llcp. 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 (3) and Clinical Psychologist (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Robert Fane Agency, Llcp accept?

Health plans from Anthem Blue Cross and Blue Shield list Robert Fane Agency, Llcp 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 Robert Fane Agency, Llcp was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.