Organization Active NPI

Teresa Fisher, PH.D., PLLC

  • Counseling Psychologist
  • Boston, MA
National Provider Identifier
1275287849
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
TERESA FISHER, PH.D., PLLC
Practice address
45 Newbury St Ste 504
Boston, MA 02116-3143
Phone
(508) 202-1047
NPI assigned
Feb 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Dr. Teresa Blevins Fisher, PH.D.NPI 1487913406
Title
Psychologist/Owner
Phone
(617) 366-9868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

45 Newbury St Ste 504
Boston, MA 02116-3143

Mailing address

12 Walk Hill St
Jamaica Plain, MA 02130-4115
Phone (617) 366-9868

National Provider Directory

National Provider Directory
Tax ID family
Teresa Fisher PHD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

45 Newbury St
Ste 504
Boston, MA 02116
Phone (508) 202-1047

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1275287849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WALK HILL ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304115",
            "telephone_number": "617-366-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NEWBURY ST STE 504",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163143",
            "telephone_number": "508-202-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA FISHER, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "BLEVINS",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "617-366-9868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.