Individual provider Active NPI

Matthew Rodney Fishler, J.D., PH.D.

  • Clinical Psychologist
  • Sherman Oaks, CA
National Provider Identifier
1669873436
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
24548 Issued in CA
Practice address
13701 Riverside Dr
#416
Sherman Oaks, CA 91423-2430
Phone
(818) 688-2228
NPI assigned
Sep 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 24548 CA Primary

Addresses

Primary practice location

13701 Riverside Dr
#416
Sherman Oaks, CA 91423-2430

Mailing address

13701 Riverside Dr
#416
Sherman Oaks, CA 91423-2430
Phone (818) 688-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2015 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Juris Doctor, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
24548CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1669873436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 RIVERSIDE DR",
            "address_2": "#416",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232430",
            "telephone_number": "818-688-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 RIVERSIDE DR",
            "address_2": "#416",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232430",
            "telephone_number": "818-688-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHLER",
        "first_name": "MATTHEW",
        "middle_name": "RODNEY",
        "credential": "J.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "24548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.