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.

WILLIAM PFOHL PSYD

Psychologist

(Clinical Child & Adolescent)

1011 LEHMAN AVE
SUITE 106 BOX 6
BOWLING GREEN, KY
ZIP 42103

(270) 782-9996

MARY MICHELE THOMAS PH.D.

Psychologist

(Clinical)

1011 LEHMAN AVE
SUITE 104
BOWLING GREEN, KY
ZIP 42103

(270) 843-8233

PAUL S MARKLE LMFT

Marriage & Family Therapist

1011 LEHMAN AVE
SUITE 103
BOWLING GREEN, KY
ZIP 42103

(270) 393-9833

MRS. ERIN MICHELLE CLARK LPCC

Counselor

(Mental Health)

1011 LEHMAN AVE
SUITE 103
BOWLING GREEN, KY
ZIP 42103

(270) 393-9833

CPCFS/ROBERT FANE AGENCY

Community/Behavioral Health

1011 LEHMAN AVE
SUITE 103
BOWLING GREEN, KY
ZIP 42103

(270) 393-9833

ASSOCIATES IN COUNSELING AND PSYCHOLOGY, LLC

Psychologist

(Counseling)

1011 LEHMAN AVE
SUITE 103
BOWLING GREEN, KY
ZIP 42103

(270) 393-9833

MR. ROBERT BRUCE FANE ED.D

Psychologist

(Clinical Child & Adolescent)

1011 LEHMAN AVE
SUITE 103
BOWLING GREEN, KY
ZIP 42103

(270) 393-9833

GINA ROEBUCK

Case Manager/Care Coordinator

1011 LEHMAN AVE
SUITE 103
BOWLING GREEN, KY
ZIP 42103

(270) 393-9833

ANAM CARA, LLC

Psychologist

(Clinical)

1011 LEHMAN AVE
SUITE 104
BOWLING GREEN, KY
ZIP 42103

(270) 843-8233

NAN HIGGINS LPCC LLC

Counselor

(Professional)

1011 LEHMAN AVE
STE. 103
BOWLING GREEN, KY
ZIP 42103

(270) 799-5000

MARSHA NAN POLAND COOPER

Counselor

(Professional)

1011 LEHMAN AVE
SUITE 103
BOWLING GREEN, KY
ZIP 42103

(270) 799-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639341126, enumerated 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.

Psychologist with taxonomy code 103TC2200X and 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 verify.