Individual provider Active NPI

Timothy Michael Fishback, MD

  • Psychiatry Physician
  • Palm Springs, CA
National Provider Identifier
1235329467
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A44033 Issued in CA
Practice address
3022 N Avenida Caballeros
Palm Springs, CA 92262-2390
Phone
(760) 567-9522
Fax
(760) 378-5362
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A44033 CA Primary

Addresses

Primary practice location

3022 N Avenida Caballeros
Palm Springs, CA 92262-2390

Mailing address

3022 N Avenida Caballeros
Palm Springs, CA 92262-2390
Phone (760) 567-9522

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@tmfmd.dsm.phimailbox.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110721000796 CA Practitioner - Psychiatry 6103094909 Practice locations: Palm Springs, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3022 N Avenida Caballeros
Palm Springs, CA 92262-2390
Phone (760) 567-9522

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A44033CAMDPsychiatry Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: records@tmfmd.dsm.phimailbox.com

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1235329467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 N AVENIDA CABALLEROS",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922622390",
            "telephone_number": "760-567-9522",
            "fax_number": "760-378-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 N AVENIDA CABALLEROS",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922622390",
            "telephone_number": "760-567-9522",
            "fax_number": "760-378-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBACK",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A44033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@tmfmd.dsm.phimailbox.com",
            "affiliation": "N",
            "endpointDescription": "Direct secure messaging for provider to provider exchange of medical records and referrals.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF Files",
            "address_1": "3022 N Avenida Caballeros",
            "city": "Palm Springs",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922622390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.