Organization Active NPI

Deborah Diamond Fisch, PSYD, LLC

  • Psychologist
  • Morristown, NJ
National Provider Identifier
1548504061
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DEBORAH DIAMOND FISCH, PSYD, LLC
Practice address
20 Community PL
4TH Floor
Morristown, NJ 07960-7500
Phone
(973) 539-1008
NPI assigned
Nov 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Authorized official

Name
Dr. Deborah Diamond Fisch, PSYDNPI 1235206533
Title
Psychologist
Phone
(973) 539-1008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

20 Community PL
4TH Floor
Morristown, NJ 07960-7500

Mailing address

20 Community PL
4TH Floor
Morristown, NJ 07960-7500
Phone (973) 539-1008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171103000163 NJ Part B Supplier - Clinic/Group Practice 6103182381 Receives reassigned benefits from 1 practitioner
Practice locations: Morristown, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1548504061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY PL",
            "address_2": "4TH FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607500",
            "telephone_number": "973-539-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY PL",
            "address_2": "4TH FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607500",
            "telephone_number": "973-539-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH DIAMOND FISCH, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "FISCH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "DIAMOND",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "973-539-1008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.