Active NPI
Thomas Fisher, PH.D.
- Rehabilitation Psychologist
- Milwaukee, WI
National Provider Identifier
1316008303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 820
- Practice address
- 2419 S. Lenox Street
Milwaukee, WI 53207 - Phone
- (414) 704-1431
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 820 | WI | |
| Health Service Psychologist | 103TH0100X | 820 | WI | |
| Rehabilitation Psychologist | 103TR0400X | 820 | WI | Primary |
Addresses
Primary practice location
2419 S. Lenox Street
Milwaukee, WI 53207
Mailing address
2419 S. Lenox Street
Milwaukee, WI 53207
Phone (414) 704-1431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40129 | Other | NATIONAL REGISTER OF HEAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 820 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1316008303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 S. LENOX STREET",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53207",
"telephone_number": "414-704-1431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2419 S. LENOX STREET",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53207",
"telephone_number": "414-704-1431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "WI",
"license": "820",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "WI",
"license": "820",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "WI",
"license": "820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL REGISTER OF HEAL",
"identifier": "40129",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.