Active NPI
Nadeen Karen Fisher, PH.D
- Clinical Psychologist
- Reseda, CA
National Provider Identifier
1629280045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY12207
- Practice address
- 18546 Sherman Way
Suite 202
Reseda, CA 91335-4117 - Phone
- (818) 326-4671
- Fax
- (805) 496-5379
- NPI assigned
- May 6, 2007
- Last updated
- Jun 6, 2014
- 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 | PSY12207 | CA | Primary |
Addresses
Primary practice location
18546 Sherman Way
Suite 202
Reseda, CA 91335-4117
Mailing address
729 N Valley Dr
Westlake Village, CA 91362-3708
Phone (818) 326-4671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY122070 | Medicaid | CA |
Other names 1
- Dr. Nadeen Wolff Fisher
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040120000806 | CA | Practitioner - Clinical Psychologist | 8224939368 | Practice locations: Calabasas, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Southern California Keck School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4768 Park Granada
Suite 109
Calabasas, CA 91302-3312
Phone 818326467100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12207 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402012800000",
"number": "1629280045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 N VALLEY DR",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913623708",
"telephone_number": "818-326-4671",
"fax_number": "805-496-5379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18546 SHERMAN WAY",
"address_2": "SUITE 202",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354117",
"telephone_number": "818-326-4671",
"fax_number": "805-496-5379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "NADEEN",
"middle_name": "KAREN",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-06",
"last_updated": "2014-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY12207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY122070",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NADEEN",
"last_name": "FISHER",
"middle_name": "WOLFF",
"prefix": "DR.",
"credential": "PH.D",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Reseda, CA
- First Choice Hospice Services
- First Class Health Services Inc
- First Family Trust Healthcare Services (First Family Trust Senior Care)
- First Priority Healthcare Inc (First Priority Housecalls)
- Jeremiah Fisher, RADT-I
- Leeat Fitzer
- FLM Medical Clinic Apc
- Andrew Flores
- Angelica Flores
- Karla Ivonne Flores, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.