FAIRSKY FOUNDATION – Psychologist, NPI 1033595665
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for FAIRSKY FOUNDATION
1300 Broadway St Ste 400
Detroit, MI 482262202
Phone: (248) 581-8777
Fax: (888) 975-9374
Type: Location
230 Collingwood St Ste 250
Ann Arbor, MI 481033845
Phone: (248) 581-8777
Fax: (888) 975-9374
Type: Location
124 Pearl St Ste 303
Ypsilanti, MI 481972663
Phone: (248) 581-8777
Fax: (888) 975-9374
Type: Location
905 S CENTER ST
ROYAL OAK, MI 480673230
Phone:
Type: Mailing
464 N Main St
Plymouth, MI 481701347
Phone: (248) 581-8777
Fax: (888) 975-9374
Type: Location
2020 Raybrook St SE Ste 203
Grand Rapids, MI 495467717
Phone: (248) 581-8777
Fax: (888) 975-9374
Type: Location
1367 Andrews Ave Lowr
Lakewood, OH 441072405
Phone: (248) 581-8777
Fax: (888) 975-9374
Type: Location
23231 WOODWARD AVE
FERNDALE, MI 482201361
Phone: (248) 581-8777
Fax: (888) 975-9374
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-07-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1046 days ago).
Enrollment records
1
Earliest due date
2023-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20160720000492 | O | Clinic/Group Practice | MI | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48226)
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