Organization Active NPI

Peter Foster Fishman Psy D PC

  • Clinic/Center
  • Traverse City, MI
National Provider Identifier
1295275923
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6301009240 Issued in MI
Legal business name
PETER FOSTER FISHMAN PSY D PC
Practice address
529 Fifth St
Traverse City, MI 49684-2407
Phone
(517) 449-6245
NPI assigned
Feb 28, 2017
Last updated
Jan 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Peter Foster-Fishman, PSY.D.NPI 1609820877
Title
Psychologist
Phone
(517) 449-6245

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 6301009240 MI Primary
Psychologist 103T00000X NU

Addresses

Primary practice location

529 Fifth St
Traverse City, MI 49684-2407

Mailing address

529 Fifth St
Traverse City, MI 49684-2407
Phone (517) 449-6245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170213000118 MI Part B Supplier - Clinic/Group Practice 0941583249 Receives reassigned benefits from 1 practitioner
Practice locations: Traverse City, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1295275923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 FIFTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842407",
            "telephone_number": "517-449-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 FIFTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842407",
            "telephone_number": "517-449-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER FOSTER FISHMAN PSY D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "FOSTER-FISHMAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "517-449-6245",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "6301009240",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.