DR. MICHAEL FANNING
NPI 1790184638
Psychologist - Clinical in Palestine, TX

Q: What is Michael Fanning's NPI number?

The NPI number for Michael Fanning is 1790184638. It was assigned to this individual provider in the NPPES registry on August 15, 2014.

Q: What is Michael Fanning's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Michael Fanning was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 15, 2014PECOS Enrolled

210 W OAK ST, PALESTINE, TX 75801(404) 734-6757(877) 737-0499 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Michael Fanning NPPES

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

DR. MICHAEL FANNING (NPI 1790184638) is an individual clinical provider in Palestine, Texas, licensed in Texas (38300) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1790184638

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MICHAEL FANNING

Location Address210 W OAK STPalestine, TX 75801-2710

Mailing Address9725 Decatur DrIndianapolis, IN 46256-9656 · (312) 656-5489 · Fax (877) 737-0499

Phone(404) 734-6757

Fax(877) 737-0499

Sole ProprietorNo

Enumeration DateAugust 15, 2014

Last NPPES UpdateMarch 27, 2020

NPPES CertifiedMarch 27, 2020

✔ NPI 1790184638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TX · 38300

Definition

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.

Also ListedDriverTaxonomy 172A00000X

210 W OAK ST, Palestine, TX 75801

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Secondary Practice Location 1

Location 16815 OakridgeSan Antonio, TX 78229-4230 · Phone (800) 528-1234

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Fanning is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Michael Fanning's NPI number?

The NPI number for Michael Fanning is 1790184638. It was assigned to this individual provider in the NPPES registry on August 15, 2014.

Where is Michael Fanning located?

Michael Fanning practices at 210 W Oak St, Palestine, TX 75801. The listed phone number is (404) 734-6757.

What is Michael Fanning's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michael Fanning enrolled in Medicare?

Yes. Michael Fanning is registered in the Medicare PECOS enrollment system.

What insurance does Michael Fanning accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and Providence Health Plan and 2 other insurers list Michael Fanning 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 Michael Fanning was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.