John W Fishburne PHD PS

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JOHN W FISHBURNE PHD PS

Practice address

23 S Wenatchee Ave Ste 202
Wenatchee, WA 98801-2274

Phone

(509) 888-0048

Fax

(509) 888-0923

NPI assigned

Feb 23, 2015

Organization subpart

No

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

Authorized official

Name

John Wood Fishburne, PH.D.NPI 1003957291

Title

Owner

Phone

(509) 888-0048

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• John Wood Fishburne IV, PH.D.

  • Psychologist
  • Spokane, WA
  • NPI 1003957291
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1669864047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 S WENATCHEE AVE STE 202",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012274",
            "telephone_number": "509-888-0048",
            "fax_number": "509-888-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S WENATCHEE AVE STE 202",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012274",
            "telephone_number": "509-888-0048",
            "fax_number": "509-888-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W FISHBURNE PHD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "FISHBURNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WOOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-888-0048",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Jeronimo, MC54227
• Diego Jimenez-Herz, RD
• Lance W Jobe, MD
• Kateri Joe, B.A, A.A.C
• Casey Johanson
• Johnson and McDonald, PLLC
• Allison Johnson
• Bailey Johnson
• Carole Ann Johnson, MA CCCA
• Carolyn R Johnson, ARNP

• Clinical Psychologist in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.