Active NPI
Jay Edward Fisher, PH.D.
- Clinical Child & Adolescent Psychologist
- Bakersfield, CA
National Provider Identifier
1154524205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PSY7979
- Practice address
- 5500 Ming Ave Ste 330
Bakersfield, CA 93309-4680 - Phone
- (661) 827-8833
- Fax
- (661) 833-8800
- NPI assigned
- Jun 7, 2007
- 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 Child & Adolescent Psychologist | 103TC2200X | PSY7979 | CA | Primary |
Addresses
Primary practice location
5500 Ming Ave Ste 330
Bakersfield, CA 93309-4680
Mailing address
5500 Ming Ave Ste 330
Bakersfield, CA 93309-4680
Phone (661) 827-8833
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 |
|---|---|---|---|
| PSY7979 | CA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1154524205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MING AVE STE 330",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933094680",
"telephone_number": "661-827-8833",
"fax_number": "661-833-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 MING AVE STE 330",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933094680",
"telephone_number": "661-827-8833",
"fax_number": "661-833-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "JAY",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY7979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.