Individual provider Active NPI

Daniel Fisher, MD

  • Psychiatry Physician
  • Boulder, CO
National Provider Identifier
1154420016
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35433 Issued in CO
Practice address
4801 Riverbend Rd Ste 100
Boulder, CO 80301-2626
Phone
(303) 440-2456
Fax
(303) 440-2427
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35433 CO Primary

Addresses

Primary practice location

4801 Riverbend Rd Ste 100
Boulder, CO 80301-2626

Mailing address

4801 Riverbend Rd Ste 100
Boulder, CO 80301-2626
Phone (303) 440-2456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050916000358 CO Practitioner - Psychiatry 6800829185 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35433COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health CurrentSince May 1, 2024 Accepting new patients
Boulder Community Health Psychiatry CurrentSince May 1, 2024 Accepting new patients
Boulder Community Health Current Accepting new patients
Boulder Community Health Past Accepting new patients
Frank Guerra MD PC Past Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

4801 Riverbend Rd
Ste 100
Boulder, CO 80301
Phone (303) 415-8611

4801 Riverbend Rd
Ste 120A
Boulder, CO 80301
Phone (303) 415-4299

4801 Riverbend Rd
Ste 300
Boulder, CO 80301
Phone (303) 415-8621

1155 Alpine Ave
Ste 385
Boulder, CO 80304
Phone (303) 440-2456

Organizations & group practices 6

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1154420016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 RIVERBEND RD STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012626",
            "telephone_number": "303-440-2456",
            "fax_number": "303-440-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 RIVERBEND RD STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012626",
            "telephone_number": "303-440-2456",
            "fax_number": "303-440-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "35433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.