Active NPI
Richard E Fischbein, MD
- Psychiatry Physician
- Kingston, PA
National Provider Identifier
1467585638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD032789E
- Practice address
- 562 Wyoming Ave
Kingston, PA 18704-3721 - Phone
- (570) 552-3780
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD032789E | PA | Primary |
Addresses
Primary practice location
562 Wyoming Ave
Kingston, PA 18704-3721
Mailing address
562 Wyoming Ave
Kingston, PA 18704-3721
Phone (570) 552-3780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110576430001 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467585638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "562 WYOMING AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187043721",
"telephone_number": "570-552-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "562 WYOMING AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187043721",
"telephone_number": "570-552-3780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHBEIN",
"first_name": "RICHARD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD032789E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0110576430001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, PA
- Kyle Fetterolf, PA
- Timothy John Figueroa
- Molly Rose Finkbiner, MT-BC
- First Hospital Psy Operations LLC (Wyoming Valley Behavioral Health)
- First Hospital Psy Operations LLC (Wyoming Valley Behavioral Hospital)
- J. Ward Fitzpatrick, D.D.S.
- Bridget Fitzsimmons
- Thomas Joseph Fiume, M.D.
- Five Star Quality Care-GHV, LLC (Tiffany Court at Kingston)
- Amy Louise Flaherty, PA-C
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.