Active NPI
Marybelle Fisher, PH.D.
- Psychologist
- Hingham, MA
National Provider Identifier
1609925239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3236
- Practice address
- 37 Derby St
Suite One
Hingham, MA 02043-3741 - Phone
- (781) 740-1522
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3236 | MA | Primary |
Addresses
Primary practice location
37 Derby St
Suite One
Hingham, MA 02043-3741
Mailing address
37 Derby St
Suite One
Hingham, MA 02043-3741
Phone (781) 740-1522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W03312 | Other | MA | BLUE SHIELD ID NO. |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dearborn Wellness, LLC | Past | 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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Quincy, MA
- NPI 1316398852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609925239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 DERBY ST",
"address_2": "SUITE ONE",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020433741",
"telephone_number": "781-740-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 DERBY ST",
"address_2": "SUITE ONE",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020433741",
"telephone_number": "781-740-1522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "MARYBELLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "3236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD ID NO.",
"identifier": "W03312",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hingham, MA
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.