Michael Fanning
NPI 1790184638 · Clinical Psychologist · Palestine, TX
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Fanning is a Clinical Psychologist provider in Palestine, TX (NPI 1790184638).
Provider details
- NPI number
- 1790184638
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 38300 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Driver172A00000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 6815 OakridgeSan Antonio, TX 78229-4230Phone: (800) 528-1234
Registry dates
- Enumerated
- 2014-08-15
- Last updated
- 2020-03-27
- Certified
- 2020-03-27
Frequently asked questions
- What is Michael Fanning's NPI number?
- Michael Fanning's National Provider Identifier (NPI) is 1790184638, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Fanning's specialty?
- Michael Fanning is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Michael Fanning located?
- Michael Fanning's practice location on file with NPPES is 210 W Oak St, Palestine, TX 75801-2710.
- What is Michael Fanning's phone number?
- The practice phone number listed in the NPPES registry for Michael Fanning is (404) 734-6757.
- Does Michael Fanning accept Medicare?
- Michael Fanning is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Fanning's NPI active?
- Yes — Michael Fanning's NPI (1790184638) is active in the NPPES registry as of the last update on 2020-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.