Daniel Fishman, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P.07996 Issued in OH

Practice address

29525 Chagrin Blvd Ste 380
Beachwood, OH 44122-4601

Phone

(216) 245-1058

NPI assigned

Mar 13, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1689067720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23749 WENDOVER DR",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221537",
            "telephone_number": "216-245-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 CHAGRIN BLVD STE 380",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224601",
            "telephone_number": "216-245-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-13",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "OH",
            "license": "P.07996",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.07996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley L. Fireman, LISW-S
• First Choice Ohio
• First Gateway Home Care LLC
• Philip J Fischer, M.D.
• Joanne M. Fisher, NP
• Paige T Fitch, LPN
• Kristina Evgenyevna Fitzek
• Antonia Lossev Fitzgerald, MD
• John J Fitzgerald, MD
• Kristin Fitzgerald

• Clinical Psychologist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.