Individual provider Active NPI

Frederick M. Fischer, PSY.D.

  • Clinical Psychologist
  • Saint Louis, MO
National Provider Identifier
1710188214
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
01753 Issued in MO
Practice address
16 N Gore Ave Ste 209
Saint Louis, MO 63119-2315
Phone
(314) 962-3316
Fax
(314) 962-3316
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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 01753 MO Primary

Addresses

Primary practice location

16 N Gore Ave Ste 209
Saint Louis, MO 63119-2315

Mailing address

212 Glen Rd
Saint Louis, MO 63119-2403
Phone (314) 962-3316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20171110002297 MO Practitioner - Clinical Psychologist 1355607151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16 N Gore Ave
Suite 209
Saint Louis, MO 63119-2315
Phone (314) 962-3316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick M. Fischer PSYD LLC Clinical CurrentSince Oct 27, 2017 Accepting new patients

Locations

34 N Gore Ave
Ste 202
Saint Louis, MO 63119
Phone (314) 962-3316

16 N Gore Ave
Ste 209
Saint Louis, MO 63119
Phone (314) 962-3316

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1710188214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 GLEN RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192403",
            "telephone_number": "314-962-3316",
            "fax_number": "314-962-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N GORE AVE STE 209",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192315",
            "telephone_number": "314-962-3316",
            "fax_number": "314-962-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "FREDERICK",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "01753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.