Julia Fisher Divakaran, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

223-044 Issued in NJ

Practice address

401 S Van Brunt St Ste 204a
Englewood, NJ 07631-4600

Phone

(201) 894-9011

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Julia Fisher Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1699496208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S VAN BRUNT ST STE 204A",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S VAN BRUNT ST STE 204A",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314600",
            "telephone_number": "201-894-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVAKARAN",
        "first_name": "JULIA",
        "middle_name": "FISHER",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "223-044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "FISHER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Digitrace Care Services Inc
• Tessa Dimasi, PA-C
• Nicole Dimiceli
• Isha Diora, DPM
• Carol Diparisi, CRNA
• Eli S Djebiyan, MD
• Christine A. Doerr, APRN-BC
• Robert William Doidge, DO
• Maureen A. Dombkowski, APN-C
• Carlos Daniel Dominguez, PHARM.D.

• Clinical Psychologist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.