Individual provider Active NPI

Deborah Diamond Fisch, PSYD

  • Psychologist
  • Morristown, NJ
National Provider Identifier
1235206533
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
SID3138 Issued in NJ
Practice address
20 Community Place
4TH Floor
Morristown, NJ 07960-7500
Phone
(973) 539-1008
Fax
(973) 539-3687
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X SID3138 NJ Primary

Addresses

Primary practice location

20 Community Place
4TH Floor
Morristown, NJ 07960-7500

Mailing address

20 Community Place
4TH Floor
Morristown, NJ 07960-7500
Phone (973) 539-1008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050524000044 NJ Practitioner - Clinical Psychologist 5193767887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Community PL
FL 4
Morristown, NJ 07960-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SID3138NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Diamond Fisch, PSYD, LLC Psychologist CurrentSince Jul 31, 2017 Accepting new patients

Locations

20 Community Pl
Fl 4
Morristown, NJ 07960
Phone (973) 539-1008

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1235206533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY PLACE",
            "address_2": "4TH FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607500",
            "telephone_number": "973-539-1008",
            "fax_number": "973-539-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY PLACE",
            "address_2": "4TH FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607500",
            "telephone_number": "973-539-1008",
            "fax_number": "973-539-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCH",
        "first_name": "DEBORAH",
        "middle_name": "DIAMOND",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "SID3138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.