Individual provider Active NPI

Diane Marie Fischer, PH.D.

  • Clinical Psychologist
  • Bloomfield Hills, MI
National Provider Identifier
1346451697
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013438 Issued in MI
Practice address
253 Woodedge Dr
Bloomfield Hills, MI 48304-1782
Phone
(248) 335-5294
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301013438 MI Primary

Addresses

Primary practice location

253 Woodedge Dr
Bloomfield Hills, MI 48304-1782

Mailing address

253 Woodedge Drive
Bloomfield Hills, MI 48304-1782
Phone (248) 335-5294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090427000390 MI Practitioner - Clinical Psychologist 8224186499 Reassigns benefits to 1 organization
Practice locations: Bloomfield Hills, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commerce Psychiatric Services PLCGroup PAC ID 6204923519, 9 clinicians

Practice addresses (Care Compare)

55 N Pond Dr
Suite 6
Walled Lake, MI 48390-3080
Phone (249) 669-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Commerce Psychiatric Services PLC CurrentSince Feb 6, 2017 Accepting new patients

Locations

55 N Pond Dr
Ste 6
Walled Lake, MI 48390
Phone (248) 669-1900

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346451697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 WOODEDGE DRIVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041782",
            "telephone_number": "248-335-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 WOODEDGE DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041782",
            "telephone_number": "248-335-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.