Individual provider Active NPI

Alexandra Lamari-Fisher, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Austin, TX
National Provider Identifier
1174065247
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
37308 Issued in TX
Practice address
1600 W 38TH St Ste 212
Austin, TX 78731-6405
Phone
(512) 324-3315
NPI assigned
Nov 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 37308 TX Primary

Addresses

Primary practice location

1600 W 38TH St Ste 212
Austin, TX 78731-6405

Mailing address

1600 W 38TH St Ste 212
Austin, TX 78731-6405
Phone (512) 324-3315

Other names 1

  • Dr. Alexandra Fisher Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20171004001269 TX Practitioner - Clinical Psychologist 9032484811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County ClinicalGroup PAC ID 1153502869, 27 clinicians

Practice addresses (Care Compare)

1600 W 38TH St 212 Texas CH
Austin, TX 78731-6405
Phone (512) 324-3315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37308TXMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Clinical Current Accepting new patients

Locations

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

Interoperability endpoints

  • Direct secure messaging: alesandra.lamari-fisher.1@8363.direct.athenahealth.com

Organizations & group practices 1

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": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1174065247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST STE 212",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316405",
            "telephone_number": "512-324-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST STE 212",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316405",
            "telephone_number": "512-324-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMARI-FISHER",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "37308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "FISHER",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.