Active NPI
Julienne Davidge Fish, M.A, L.L.P
- Psychologist
- Troy, MI
National Provider Identifier
1679630222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361005162
- Practice address
- 2825 Livernois Rd
Troy, MI 48083-1214 - Phone
- (248) 680-2060
- NPI assigned
- Jan 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6361005162 | MI | Primary |
| Clinical Psychologist | 103TC0700X | 6301009310 | MI |
Addresses
Primary practice location
2825 Livernois Rd
Troy, MI 48083-1214
Mailing address
30524 McGrath Dr
Warren, MI 48093-5611
Phone (586) 582-0063
Other practice location 1
24715 Little Mack Ave
Ste. 200
Saint Clair Shores, MI 48080-3207
Phone (586) 777-9000 ext. 20
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfish16506@direct.hfhs.org |
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361005162 | MI | MD | Psychologist |
| 6301009310 | MI | MD | Clinical Psychologist |
Interoperability endpoints
- jfish16506@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1679630222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30524 MCGRATH DR",
"city": "WARREN",
"state": "MI",
"postal_code": "480935611",
"telephone_number": "586-582-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 LIVERNOIS RD",
"city": "TROY",
"state": "MI",
"postal_code": "480831214",
"telephone_number": "248-680-2060"
}
],
"practiceLocations": [
{
"address_1": "24715 Little Mack Ave",
"address_2": "Ste. 200",
"address_purpose": "LOCATION",
"city": "Saint Clair Shores",
"state": "MI",
"postal_code": "480803207",
"country_code": "US",
"telephone_number": "586-777-9000 x20",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISH",
"first_name": "JULIENNE",
"middle_name": "DAVIDGE",
"name_prefix": "Mrs.",
"credential": "M.A, L.L.P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361005162",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301009310",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfish16506@direct.hfhs.org",
"affiliation": "N",
"address_1": "15420 19 Mile Rd",
"city": "Clinton Twp",
"state": "MI",
"country_code": "US",
"postal_code": "480386339",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.