Active NPI
Stephen Cobb Fisher, PHD
- Psychologist
- Westford, MA
National Provider Identifier
1336131663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3368
- Practice address
- 87 Stony Brook Rd
Westford, MA 01886-1905 - Phone
- (978) 846-1572
- Fax
- (978) 654-6650
- NPI assigned
- Aug 23, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3368 | MA | Primary |
Addresses
Primary practice location
87 Stony Brook Rd
Westford, MA 01886-1905
Mailing address
87 Stony Brook Rd
Westford, MA 01886-1905
Phone (978) 846-1572
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1670186 | Other | PRIVATE HEALTH SYSTEMS | |
| 730960 | Other | TUFTS HMO | |
| 5333043 | Other | HEALTHCARE VALUE MANAGEME | |
| 1164138 | Other | FIRST HEALTH | |
| 5656232 | Other | AETNA | |
| 211025 | Other | MAGELLAN BEHAVIORAL HEALT | |
| W03424 | Other | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 26, 2024 through Jun 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3368 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1336131663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 STONY BROOK RD",
"city": "WESTFORD",
"state": "MA",
"postal_code": "018861905",
"telephone_number": "978-846-1572",
"fax_number": "978-654-6650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 STONY BROOK RD",
"city": "WESTFORD",
"state": "MA",
"postal_code": "018861905",
"telephone_number": "978-846-1572",
"fax_number": "978-654-6650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "STEPHEN",
"middle_name": "COBB",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2021-03-09",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "3368",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTH SYSTEMS",
"identifier": "1670186",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HMO",
"identifier": "730960",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE VALUE MANAGEME",
"identifier": "5333043",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1164138",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5656232",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "211025",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "W03424",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Westford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.