Susan Witenberg Fisher, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

007469 Issued in NY

Practice address

316 Delaware Ave
Suite 222
Delmar, NY 12054-1932

Phone

(518) 475-0142

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Susan Fisher Professional name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1417003468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BIRCH HILL RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112004",
            "telephone_number": "518-434-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 DELAWARE AVE",
            "address_2": "SUITE 222",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541932",
            "telephone_number": "518-475-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITENBERG FISHER",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "007469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "FISHER",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Darlene Whitney
• Megan Elizabeth Wickham, RN
• Judy Marie Wilday, REGISTERED NURSE
• Haley Wilsey, NP
• Carla Bianca Winner, LMHC
• Lea Michelle Wright, RD
• Marni Yanneck, MSED

• Psychologist in Delmar, NY
• Providers in Delmar, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.