Active NPI
Irene Fisher, PSY.D.
- Rehabilitation Psychologist
- Wilmington, DE
National Provider Identifier
1134286016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- B1-0000294
- Practice address
- 2006 Foulk Rd
Suite B
Wilmington, DE 19810-3644 - Phone
- (302) 529-8783
- Fax
- (302) 529-7470
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | B1-0000294 | DE | Primary |
Addresses
Primary practice location
2006 Foulk Rd
Suite B
Wilmington, DE 19810-3644
Mailing address
2006 Foulk Rd
Suite B
Wilmington, DE 19810-3644
Phone (302) 529-8783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000023583 | Other | DE | DELAWARE PHYSICIANS CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101129000387 | DE | Practitioner - Clinical Psychologist | 5193911451 | |
| I20150317001894 | PA | Practitioner - Clinical Psychologist | 5193911451 | Practice locations: Bala Cynwyd, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
452 Conshohocken State Rd
Bala Cynwyd, PA 19004-2641
Phone (610) 766-1810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134286016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 FOULK RD",
"address_2": "SUITE B",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198103644",
"telephone_number": "302-529-8783",
"fax_number": "302-529-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 FOULK RD",
"address_2": "SUITE B",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198103644",
"telephone_number": "302-529-8783",
"fax_number": "302-529-7470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "IRENE",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "DE",
"license": "B1-0000294",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELAWARE PHYSICIANS CARE",
"identifier": "1000023583",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.