Individual provider Active NPI

Leslie J Fishbein, M.D.

  • Psychiatry Physician
  • Pittsfield, MA
National Provider Identifier
1538106232
Registry record updated Nov 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
73827 Issued in MA
Practice address
55 North St
Ste 213
Pittsfield, MA 01201-5874
Phone
(413) 442-5600
Fax
(888) 371-3987
NPI assigned
Jun 1, 2006
Last updated
Nov 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 73827 MA Primary

Addresses

Primary practice location

55 North St
Ste 213
Pittsfield, MA 01201-5874

Mailing address

PO Box 465
Berkshire Medical Center
Pittsfield, MA 01202-0465
Phone (413) 442-5600

Other practice location 1

26 Queen St
Worcester, MA 01610-2473
Phone (508) 334-2670

Other identifiers 1

IdentifierTypeStateIssuer
110051203AMedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lfishbein239487@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050429000064 MA Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 4880585256 Reassigns benefits to 3 organizations
Practice locations: Lee, MA; New Marlborough, MA; Pittsfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health Programs IncGroup PAC ID 5799746608, shared by 6 NPIs, 45 clinicians

Practice addresses (Care Compare)

444 Stockbridge Rd
Great Barrington, MA 01230-1295
Phone (413) 528-8580

510 N St
Pittsfield, MA 01201-5493
Phone (413) 447-2351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73827MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Programs, Inc. CurrentSince May 1, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 15, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 15, 2020 Accepting new patients
Community Health Programs, Inc. CurrentSince May 1, 2020 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

444 Stockbridge Rd
Gt Barrington, MA 01230
Phone (413) 528-8580

Interoperability endpoints

  • Direct secure messaging: leslie.fishbein.1@3792.direct.athenahealth.com
  • Direct secure messaging: lfishbein239487@umassmemorial.direct-ci.com

Organizations & group practices 5

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1538106232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 465",
            "address_2": "BERKSHIRE MEDICAL CENTER",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012020465",
            "telephone_number": "413-442-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NORTH ST",
            "address_2": "STE 213",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015874",
            "telephone_number": "413-442-5600",
            "fax_number": "888-371-3987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Queen St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016102473",
            "country_code": "US",
            "telephone_number": "508-334-2670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHBEIN",
        "first_name": "LESLIE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "73827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110051203A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lfishbein239487@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "26 Queen St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016102473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "26 Queen St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016102473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.