Individual provider Active NPI

Maria Fishel, PHD, LSSP

  • Psychologist
  • Lakeway, TX
National Provider Identifier
1114258696
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
34260 Issued in TX
Practice address
1202 Lakeway Dr
Ste. 8
Lakeway, TX 78734-4473
Phone
(512) 748-6373
NPI assigned
Jan 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
32643TXMDSocial Worker
34260TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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 and National Provider Directory roles.

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

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.

Verify at the official NPI Registry.