Active NPI
Diane J Fischer, PH.D.
- Clinical Psychologist
- Staten Island, NY
National Provider Identifier
1578682969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 009682
- Practice address
- 78 Hart Blvd
Staten Island, NY 10301-2613 - Phone
- (718) 273-3682
- Fax
- (908) 232-8148
- NPI assigned
- Mar 28, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 009682 | NY | Primary |
Addresses
Primary practice location
78 Hart Blvd
Staten Island, NY 10301-2613
Mailing address
639 Fairmont Ave
Westfield, NJ 07090-1360
Phone (908) 232-8824
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 Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578682969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 FAIRMONT AVE",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070901360",
"telephone_number": "908-232-8824",
"fax_number": "908-232-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 HART BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103012613",
"telephone_number": "718-273-3682",
"fax_number": "908-232-8148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "DIANE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "009682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
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.