Organization Active NPI

Fishbein Psychological Associates, P.a.

  • Psychologist
  • Baltimore, MD
National Provider Identifier
1376648618
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
01936 Issued in MD
Legal business name
FISHBEIN PSYCHOLOGICAL ASSOCIATES, P.A.
Practice address
604 Dunkirk Rd
Baltimore, MD 21212-2015
Phone
(410) 521-2150
Fax
(410) 377-3323
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Dr. Susan H Fishbein, PSY.D.
Title
Owner
Phone
(410) 521-2150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 01936 MD Primary

Addresses

Primary practice location

604 Dunkirk Rd
Baltimore, MD 21212-2015

Mailing address

604 Dunkirk Rd
Baltimore, MD 21212
Phone (410) 521-2150

Other identifiers 5

IdentifierTypeStateIssuer
PVPB8164OtherMDAPS
T608OtherMDFEDERAL BC/BS, BLUECHOICE
191074OtherMDCOMPSYCH
G338OtherMDMARYLAND BLUE CROSS
2540606-00MedicaidMD

National Provider Directory

National Provider Directory

Locations

1 E Chase St
Ste 201
Baltimore, MD 21202
Phone (410) 521-2150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1376648618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 DUNKIRK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21212",
            "telephone_number": "410-521-2150",
            "fax_number": "410-377-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 DUNKIRK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122015",
            "telephone_number": "410-521-2150",
            "fax_number": "410-377-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHBEIN PSYCHOLOGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "FISHBEIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-521-2150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "01936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "PVPB8164",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BC/BS, BLUECHOICE",
            "identifier": "T608",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "191074",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BLUE CROSS",
            "identifier": "G338",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2540606-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.