Active NPI
Dawn M Fisher, M.A, L.L.P.
- Counseling Psychologist
- Farmington Hills, MI
National Provider Identifier
1770685398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6361003975
- Practice address
- 30665 Northwestern Hwy Ste 255
Farmington Hills, MI 48334-3144 - Phone
- (734) 417-2482
- NPI assigned
- Sep 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6361003975 | MI | Primary |
Addresses
Primary practice location
30665 Northwestern Hwy Ste 255
Farmington Hills, MI 48334-3144
Mailing address
30665 Northwestern Hwy Ste 255
Farmington Hills, MI 48334-3144
Phone (734) 417-2482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361003975 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1770685398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30665 NORTHWESTERN HWY STE 255",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343144",
"telephone_number": "734-417-2482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30665 NORTHWESTERN HWY STE 255",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343144",
"telephone_number": "734-417-2482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "DAWN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "M.A, L.L.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-03",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6361003975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.