Individual provider Active NPI

Avrim Brett Fishkind, MD

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1093727943
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K0750 Issued in TX
Practice address
410 Pierce St Ste 103
Houston, TX 77002-8749
Phone
(888) 792-7122
NPI assigned
Aug 12, 2006
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C54128 CA
Child & Adolescent Psychiatry Physician 2084P0804X K0750 TX
Psychiatry Physician 2084P0800X K0750 TX Primary

Addresses

Primary practice location

410 Pierce St Ste 103
Houston, TX 77002-8749

Mailing address

29 N Hamilton St
Poughkeepsie, NY 12601-2541
Phone (315) 250-9822

Other practice location 1

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230127000968 CA Practitioner - Psychiatry 2466539804 Reassigns benefits to 2 organizations
I20231219002282 NY Practitioner - Psychiatry 2466539804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Johns Hopkins University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Services, Inc.Group PAC ID 1658284542, 39 clinicians

Practice addresses (Care Compare)

20 Manchester Rd
Poughkeepsie, NY 12603-2596
Phone (845) 486-2703

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K0750TXMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Behavioral Health Associates LLC Psychiatry Current Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jan 1, 2023 Accepting new patients
Family Services, Inc. Psychiatry CurrentSince Nov 13, 2023 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jan 1, 2023 Accepting new patients
Martin Luther King Jr Community Medical Foundation Current Accepting new patients
Darin Rentz DO PC Psychiatry CurrentSince Jul 1, 2023 Accepting new patients
Jsa Health Texas, PLLC Psychiatry Past Accepting new patients

Locations

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

12021 Wilmington Ave
Ste 1000
Los Angeles, CA 90059
Phone (424) 404-8263

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 281-9390

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

7 Park Ln
Highland, NY 12528

20 Manchester Rd
Poughkeepsie, NY 12603
Phone (845) 347-6096

29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110

Interoperability endpoints

  • Direct secure messaging: avrim.fishkindmd.p1@direct.cfg.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1093727943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 N HAMILTON ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012541",
            "telephone_number": "315-250-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PIERCE ST STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028749",
            "telephone_number": "888-792-7122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Beverly Blvd",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900481804",
            "country_code": "US",
            "telephone_number": "310-423-3564",
            "fax_number": "310-423-8397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHKIND",
        "first_name": "AVRIM",
        "middle_name": "BRETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2024-03-11",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C54128",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "K0750",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K0750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.