Individual provider Active NPI

Barbara Fisher, PHD

  • Clinical Neuropsychologist
  • Washington TWP, MI
National Provider Identifier
1245458280
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6301002997 Issued in MI
Practice address
59100 Mound Rd
Washington TWP, MI 48094
Phone
(586) 323-3620
Fax
(586) 323-3568
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6301002997 MI Primary

Addresses

Primary practice location

59100 Mound Rd
Washington TWP, MI 48094

Mailing address

59100 Mound Rd
Washington TWP, MI 48094
Phone (586) 323-3620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070516000380 MI Practitioner - Clinical Psychologist 2062519697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Psychological Services IncGroup PAC ID 8921197807, 5 clinicians

Practice addresses (Care Compare)

47818 Van Dyke Ave
Shelby Township, MI 48317-3373
Phone (586) 323-3620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
United Psychological Services Inc Clinical Neuropsychologist CurrentSince Feb 14, 1989 Accepting new patients
Clementine Counseling PastSince May 4, 2016 Accepting new patients

Locations

47818 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 323-3260

Organizations & group practices 2

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245458280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59100 MOUND RD",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "48094",
            "telephone_number": "586-323-3620",
            "fax_number": "586-323-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59100 MOUND RD",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "48094",
            "telephone_number": "586-323-3620",
            "fax_number": "586-323-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "BARBARA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301002997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington TWP, MI

Sources for this page

Verify at the official NPI Registry.