Individual provider Active NPI

Michael Francis Fiore, PH.D.

  • Psychologist
  • Black Mountain, NC
National Provider Identifier
1073553186
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2540 Issued in NC
Practice address
997 Old US Hwy 70 W Ste C
Black Mountain, NC 28711-4501
Phone
(828) 669-8869
Fax
(828) 669-8865
NPI assigned
Jun 7, 2006
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2540 NC Primary
Clinical Psychologist 103TC0700X 2540 NC

Addresses

Primary practice location

997 Old US Hwy 70 W Ste C
Black Mountain, NC 28711-4501

Mailing address

997 Old US Hwy 70 W Ste C
Black Mountain, NC 28711-4501
Phone (828) 669-8869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080728000524 NC Practitioner - Clinical Psychologist 2466526272 Practice locations: Black Mountain, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of North Carolina at Chapel Hill School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

997 Old US Hwy 70 W
Suite C
Black Mountain, NC 28711-4501
Phone (828) 669-8869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2540NCMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1073553186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 OLD US HWY 70 W STE C",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287114501",
            "telephone_number": "828-669-8869",
            "fax_number": "828-669-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 OLD US HWY 70 W STE C",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287114501",
            "telephone_number": "828-669-8869",
            "fax_number": "828-669-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORE",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2540",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

Verify at the official NPI Registry.