Individual provider Active NPI

Debra D Fishleder, P.C.

  • Mental Health Counselor
  • Cleveland, OH
National Provider Identifier
1346457702
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C8257 Issued in OH
Practice address
29325 Chagrin Blvd
Suite Number 102
Cleveland, OH 44122-4600
Phone
(216) 650-1225
Fax
(216) 831-3558
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

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
Mental Health Counselor 101YM0800X C8257 OH Primary

Addresses

Primary practice location

29325 Chagrin Blvd
Suite Number 102
Cleveland, OH 44122-4600

Mailing address

29325 Chagrin Blvd
Suite Number 102
Cleveland, OH 44122-4600
Phone (216) 650-1225

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

State licenses

LicenseStateTypeSpecialty
C8257OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346457702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29325 CHAGRIN BLVD",
            "address_2": "SUITE NUMBER 102",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441224600",
            "telephone_number": "216-650-1225",
            "fax_number": "216-831-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29325 CHAGRIN BLVD",
            "address_2": "SUITE NUMBER 102",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441224600",
            "telephone_number": "216-650-1225",
            "fax_number": "216-831-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHLEDER",
        "first_name": "DEBRA",
        "middle_name": "D",
        "credential": "P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C8257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.