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GRAND TRAVERSE ASSESSMENT AND THERAPY, PLLC
NPI 1912480518
Psychologist - Clinical in Traverse City, MI

Active since September 10, 2018
5123 N ROYAL DR, TRAVERSE CITY, MI 49684(517) 887-9801 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2019, Sep 10, 2018 (2 updates tracked since 2018).

About Grand Traverse Assessment And Therapy, Pllc NPPES

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

GRAND TRAVERSE ASSESSMENT AND THERAPY, PLLC (NPI 1912480518) is a healthcare organization registered as a clinical in Traverse City, Michigan and active in the NPI registry since September 2018. The organization lists Robert Fabiano, Co-manager, as its authorized official.

NPPES Registry Identity

NPI1912480518
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameGRAND TRAVERSE ASSESSMENT AND THERAPY, PLLC
Location Address5123 N ROYAL DRTraverse City, MI 49684-9201
Mailing Address5123 N Royal DrTraverse City, MI 49684-9201
Phone(517) 887-9801
Organization SubpartNo
Authorized OfficialRobert FabianoCo-manager · (517) 243-7027
Enumeration DateSeptember 10, 2018
Last NPPES UpdateJanuary 28, 20192 updates tracked since enumeration
✔ NPI 1912480518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
5123 N ROYAL DR, Traverse City, MI 49684
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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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Other Providers at the Same Location NPPES 12

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

ACTIVE BRACE AND LIMB LLC
Prosthetic/Orthotic Supplier
5123 N ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 932-8702
MS. BRIDGET MAUREEN CALLAGHAN MSW
Social Worker (Clinical)
5123 N ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-2440
NEW APPROACHES CENTER
Psychologist (Clinical)
5123 N ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-8383
TROY SUTHERLAND ATC
Rehabilitation Practitioner
5123 N ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 883-5280
KATHRYN MAXIMIUK LPC
Counselor (Professional)
5123 N ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-8383
UNITED SOFT GOOD ASSOCIATES, LLC
Durable Medical Equipment & Medical Supplies
5123 N ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 932-8702
MICHELE RENNER CCC-SLP
Speech-Language Pathologist
5123 N ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-8383
ANNALISE BENARDO M.S. CCC-SLP
Speech-Language Pathologist
5123 N ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-8383

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 Grand Traverse Assessment And Therapy, PLLC's NPI number?

The NPI number for Grand Traverse Assessment And Therapy, PLLC is 1912480518. It was assigned to this organization in the NPPES registry on September 10, 2018.

Where is Grand Traverse Assessment And Therapy, PLLC located?

Grand Traverse Assessment And Therapy, PLLC is located at 5123 N Royal Dr, Traverse City, MI 49684. The listed phone number is (517) 887-9801.

What is Grand Traverse Assessment And Therapy, PLLC's specialty?

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

What insurance does Grand Traverse Assessment And Therapy, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Grand Traverse Assessment And Therapy, PLLC 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 Grand Traverse Assessment And Therapy, PLLC was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.