Andrea Mattison Fisher, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003785 Issued in VA

Practice address

4600 Connecticut Ave NW
Suite 223
Washington, DC 20008-5728

Phone

(202) 725-6019

Fax

(877) 700-3485

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Polly Mattison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychological and Life Skills Associates, P.C.

  • Psychologist
  • Woodbridge, VA
  • NPI 1619066727
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1336284496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 CONNECTICUT AVE NW",
            "address_2": "SUITE 223",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200085728",
            "telephone_number": "202-725-6019",
            "fax_number": "877-700-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 CONNECTICUT AVE NW",
            "address_2": "SUITE 223",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200085728",
            "telephone_number": "202-725-6019",
            "fax_number": "877-700-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ANDREA",
        "middle_name": "MATTISON",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "MATTISON",
            "middle_name": "POLLY",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chloe Madeline Fish, OTR/L #OT210002277
• Steven Laurence Fish, M.D.
• Dawn A Fishbein, MD
• Thomas Fishbein, MD
• Evan F Fishell
• Angela Fisher
• Barry Fisher, MD
• Barry L Fisher, MD
• Bianca Fisher
• Brandi Denise Fisher

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.