Fish Psychiatric Practice LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FISH PSYCHIATRIC PRACTICE LLC

Practice address

22 Judges Hill Dr
Norwell, MA 02061-1041

Phone

(857) 330-2716

Fax

(904) 637-1524

NPI assigned

Feb 24, 2022

Organization subpart

No

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

Authorized official

Name

Dr. David W. Fish, DO

Title

Owner

Phone

(857) 330-2716

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1205582541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 CHIEF JUSTICE CUSHING HWY STE 267",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020252115",
            "telephone_number": "857-330-2716",
            "fax_number": "904-637-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 JUDGES HILL DR",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611041",
            "telephone_number": "857-330-2716",
            "fax_number": "904-637-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISH PSYCHIATRIC PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-330-2716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Norwell, MA
• Providers in Norwell, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.