Active NPI
Paul Douglas Fisher, PH.D.
- Clinical Psychologist
- Knoxville, TN
National Provider Identifier
1124125034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P0000001215
- Practice address
- 121 N Concord St
Knoxville, TN 37919-2330 - Phone
- (865) 673-6741
- Fax
- (865) 673-6634
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P0000001215 | TN | Primary |
Addresses
Primary practice location
121 N Concord St
Knoxville, TN 37919-2330
Mailing address
417 Hiawatha CT
Nashville, TN 37221-4021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0000001215 | TN | MD | Clinical Psychologist |
| 1215 | TN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychplus Medical Associates, PLLC | Current | Accepting new patients | |
| Psychiatry of Texas PLLC | Clinical | Current | Accepting new patients |
| Healthcare Management, Inc | Clinical | Past | Accepting new patients |
Locations
3343 Perimeter Hill Dr
Ste 214
Nashville, TN 37211
Phone (951) 440-8989
7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109
Organizations & group practices 3
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": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1124125034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 HIAWATHA CT",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372214021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 N CONCORD ST",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379192330",
"telephone_number": "865-673-6741",
"fax_number": "865-673-6634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "PAUL",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P0000001215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.