Active NPI
Maria Fishel, PHD, LSSP
- Psychologist
- Lakeway, TX
National Provider Identifier
1114258696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 34260
- Practice address
- 1202 Lakeway Dr
Ste. 8
Lakeway, TX 78734-4473 - Phone
- (512) 748-6373
- NPI assigned
- Jan 22, 2010
- Last updated
- Aug 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 34260 | TX | Primary |
| School Psychologist | 103TS0200X | 32643 | TX |
Addresses
Primary practice location
1202 Lakeway Dr
Ste. 8
Lakeway, TX 78734-4473
Mailing address
855 Sunfish St
Lakeway, TX 78734-4411
Phone (512) 748-6373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32643 | TX | MD | Social Worker |
| 34260 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life's Intersections LLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1114258696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 SUNFISH ST",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787344411",
"telephone_number": "512-748-6373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 LAKEWAY DR",
"address_2": "STE. 8",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787344473",
"telephone_number": "512-748-6373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHEL",
"first_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PHD, LSSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-22",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "34260",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "32643",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeway, TX
- Dustin Ferrell, DC
- Alexander Martin Field
- Jeffrey Charles Fifield, D.M.D.
- Fire of Life Chiropractic PLLC (Fire of Life Chiropractic)
- Monica Ruth Fishbein, OTD
- Bailee Nicole Fleming
- Flintrock Falls Healthcare, Inc. (Lakeway Skilled Nursing and Rehabilitation)
- Ricardo Flores, DC
- Flourish Counseling & Mental Wellness Center
- Deanna Fontenot
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.