Steven Glenn Fisher, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY16754 Issued in CA

Practice address

7290 Navajo Rd
Suite 212
San Diego, CA 92119-1629

Phone

(619) 278-0700

Fax

(619) 278-0707

NPI assigned

Aug 8, 2006

Last updated

Mar 27, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1598775256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919441770",
            "telephone_number": "619-278-0700",
            "fax_number": "619-278-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 NAVAJO RD",
            "address_2": "SUITE 212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191629",
            "telephone_number": "619-278-0700",
            "fax_number": "619-278-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "STEVEN",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Rachel Fisher, RD
• Natalie Elizabeth Fisher, DNP, FNP-BC
• Rachel Lee Fisher, L.C.S.W.
• Robert E. Fisher, R.PH.
• Sloane M. Fisher, NP
• Veronica Fisher, BS.MS
• William Fisher, M.D.
• Elena Fishman, MD
• Inna Fishman, PHD
• Lisa Fishman

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.