Active NPI
Jesse Thomas Fischer, PHD
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1346860970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LPA
- Practice address
- 760 Westwood PLZ # C8-749
Los Angeles, CA 90095-8353 - Phone
- (310) 825-9121
- Fax
- (310) 206-8525
- NPI assigned
- Apr 23, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LPA | TX | Primary |
Addresses
Primary practice location
760 Westwood PLZ # C8-749
Los Angeles, CA 90095-8353
Mailing address
760 Westwood PLZ # C8-749
Los Angeles, CA 90095-8353
Phone (310) 825-9121
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.semel.ucla.edu/service/general/medical-psychology-assessment-center | Direct | UCLA Semel Institute |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPA | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1346860970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 WESTWOOD PLZ # C8-749",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958353",
"telephone_number": "310-825-9121",
"fax_number": "310-206-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 WESTWOOD PLZ # C8-749",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958353",
"telephone_number": "310-825-9121",
"fax_number": "310-206-8525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "JESSE",
"middle_name": "THOMAS",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-23",
"last_updated": "2023-11-27",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "LPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.semel.ucla.edu/service/general/medical-psychology-assessment-center",
"affiliation": "Y",
"affiliationName": "UCLA Semel Institute",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "760 Westwood Plz # C8-749",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900958353",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.