Active NPI
Fishbein Psychological Associates, P.a.
- Psychologist
- Baltimore, MD
National Provider Identifier
1376648618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 01936
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PVPB8164 | Other | MD | APS |
| T608 | Other | MD | FEDERAL BC/BS, BLUECHOICE |
| 191074 | Other | MD | COMPSYCH |
| G338 | Other | MD | MARYLAND BLUE CROSS |
| 2540606-00 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- Baltimore, MD
- NPI 1346266012
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.