Individual provider Active NPI

Amy M. Fisher-Smith, PH.D.

  • Psychologist
  • Irving, TX
National Provider Identifier
1275782427
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
31562 Issued in TX
Practice address
1845 E Northgate Dr
Irving, TX 75062-4736
Phone
(972) 721-5349
Fax
(972) 721-4034
NPI assigned
Sep 11, 2008
Last updated
Sep 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 31562 TX Primary

Addresses

Primary practice location

1845 E Northgate Dr
Irving, TX 75062-4736

Mailing address

1845 E Northgate Dr
Irving, TX 75062-4736
Phone (214) 725-5829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090113000393 TX Practitioner - Clinical Psychologist 3072676352 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brainbridge Psychological and Behavioral Health CurrentSince Apr 1, 2025 Accepting new patients
A1B Healthcare PastSince Dec 1, 2023 Accepting new patients

Locations

8150 N Central Expy
Ste 1450
Dallas, TX 75206
Phone (214) 600-2647

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1275782427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 E NORTHGATE DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624736",
            "telephone_number": "214-725-5829",
            "fax_number": "972-721-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 E NORTHGATE DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624736",
            "telephone_number": "972-721-5349",
            "fax_number": "972-721-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER-SMITH",
        "first_name": "AMY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "31562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.