Organization Active NPI

Maria Fisher Enix

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bradford, PA
National Provider Identifier
1336874049
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MARIA FISHER ENIX
Practice address
80 E Corydon St Ste 105
Bradford, PA 16701-6520
Phone
(814) 368-4422
Fax
(814) 368-4422
NPI assigned
Jul 18, 2022
Last updated
Dec 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Maria Fisher Enix, MSWNPI 1366763815
Title
Clinical Social Worker
Phone
(814) 368-4422

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

80 E Corydon St Ste 105
Bradford, PA 16701-6520

Mailing address

80 E Corydon St Ste 105
Bradford, PA 16701-6520
Phone (814) 368-4422

National Provider Directory

National Provider Directory

Locations

80 E Corydon St
Ste 105
Bradford, PA 16701
Phone (814) 368-4422

125 Main St
Rm 504
Bradford, PA 16701
Phone (814) 368-4422

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": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1336874049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E CORYDON ST STE 105",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167016520",
            "telephone_number": "814-368-4422",
            "fax_number": "814-368-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E CORYDON ST STE 105",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167016520",
            "telephone_number": "814-368-4422",
            "fax_number": "814-368-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA FISHER ENIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "ENIX",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "FISHER",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "814-368-4422",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.