Active NPI
Aretha Lynn Fisher, PSY.D.
- Clinical Psychologist
- Heath, TX
National Provider Identifier
1730396607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 34807
- Practice address
- 4130 Ellinger Dr
Heath, TX 75126-3721 - Phone
- (510) 332-5042
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 22603 | CA | |
| Clinical Psychologist | 103TC0700X | 34807 | TX | Primary |
Addresses
Primary practice location
4130 Ellinger Dr
Heath, TX 75126-3721
Mailing address
4130 Ellinger Dr
Heath, TX 75126-3721
Phone (510) 332-5042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22603 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas County Hospital District | Current | Accepting new patients | |
| Dallas County Hospital District | Current | Accepting new patients | |
| Black Butterfly Wellness, PLLC | Current | Accepting new patients |
Locations
1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Heath, TX
- NPI 1962254912
-
- Psychiatry Physician
- Dallas, TX
- NPI 1649278995
-
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1558035188
-
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1831198506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1730396607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 ELLINGER DR",
"city": "HEATH",
"state": "TX",
"postal_code": "751263721",
"telephone_number": "510-332-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 ELLINGER DR",
"city": "HEATH",
"state": "TX",
"postal_code": "751263721",
"telephone_number": "510-332-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "ARETHA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "22603",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "34807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Heath, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.