Individual provider Active NPI

Joanne Fishman, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1679797765
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0107221 Issued in NY
Practice address
137 E 38TH St Apt 9J
New York, NY 10016-2623
Phone
(212) 502-3479
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 0107221 NY
Clinical Psychologist 103TC0700X 0107221 NY Primary

Addresses

Primary practice location

137 E 38TH St Apt 9J
New York, NY 10016-2623

Mailing address

137 E 38TH St Apt 9J
New York, NY 10016-2623
Phone (212) 502-3479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150706000959 NY Practitioner - Clinical Psychologist 4688986680 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Connections Psychological Services PLLCGroup PAC ID 1850512021, 3 clinicians

Practice addresses (Care Compare)

561 10TH Ave
Apt 29H
New York, NY 10036-3056
Phone (212) 242-5033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0107221NYMDAddiction (Substance Use Disorder) Psychologist
010722NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frank J Corigliano PHD Psychologist, PC Clinical CurrentSince Dec 1, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1679797765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 E 38TH ST APT 9J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162623",
            "telephone_number": "212-502-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E 38TH ST APT 9J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162623",
            "telephone_number": "212-502-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "0107221",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0107221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.