Phyllis Fiedler, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

583 Issued in WA

Practice address

8015 SE 28TH St
#201
Mercer Island, WA 98040-2910

Phone

(206) 439-1762

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Decky Fiedler Professional name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Roland I Barach PHD PSGroup PAC ID 7810884798, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Roland I Barach PHD PS

  • Clinical Psychologist
  • Mercer Island, WA
  • NPI 1255530804
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479513600000",
    "number": "1164571014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 76TH AVE SE",
            "address_2": "STE 207",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402744",
            "telephone_number": "206-439-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 SE 28TH ST",
            "address_2": "#201",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402910",
            "telephone_number": "206-439-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEDLER",
        "first_name": "PHYLLIS",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2016-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DECKY",
            "last_name": "FIEDLER",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Karen Sue Feldt, ARNP
• John Felice, ND
• Clara Alexandra Felker, DDS
• Hollyann Alyssa Feller, DMD
• Irma Manalansan Fernandez, PHARMACIST
• Bruno Fiorentini
• Sean Michael Fisher, MD
• Ashley Fletcher, MSOTR/L
• Susan Marie Fletcher, MSPT, DPT
• Robin H Fontana, ARNP

• Clinical Psychologist in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2016; 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.

Verify at the official NPI Registry.