Individual provider Active NPI

Susan Diane Fischer, PSY.D.

  • Clinical Psychologist
  • Sherman, TX
National Provider Identifier
1487655593
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
25169 Issued in TX
Practice address
1800 Teague Dr
Suite 502
Sherman, TX 75090-2640
Phone
(903) 892-4466
Fax
(903) 892-2634
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 25169 TX Primary

Addresses

Primary practice location

1800 Teague Dr
Suite 502
Sherman, TX 75090-2640

Mailing address

1800 Teague Dr
Suite 502
Sherman, TX 75090-2640
Phone (903) 892-4466

Other identifiers 1

IdentifierTypeStateIssuer
1002008-01MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
25169TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Uplift Family Medicine, PLLC PastSince Oct 15, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1487655593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 TEAGUE DR",
            "address_2": "SUITE 502",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902640",
            "telephone_number": "903-892-4466",
            "fax_number": "903-892-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TEAGUE DR",
            "address_2": "SUITE 502",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902640",
            "telephone_number": "903-892-4466",
            "fax_number": "903-892-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002008-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.