Michael Ivan Fischman, LCSW-R

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R034581-1 Issued in NY

Practice address

154A Hicks St
Brooklyn, NY 11201-2375

Phone

(718) 625-4807

Fax

(914) 725-9812

NPI assigned

Jun 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790988327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154A HICKS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012375",
            "telephone_number": "718-625-4807",
            "fax_number": "914-725-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154A HICKS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012375",
            "telephone_number": "718-625-4807",
            "fax_number": "914-725-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHMAN",
        "first_name": "MICHAEL",
        "middle_name": "IVAN",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R034581-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan R Fischer, TEACHER
• Heather Janine Fischetti, M.S., CCC-SLP, TSSLD
• Patricia M Fischetti, PSY.D
• Avigayil Fischler, DPT
• Burton Mitchell Fischler, CASAC-T
• Rachel Fischman
• Sylvia Jean Fischman II, MSW
• Yael Fischman, LMSW
• Judith Fischmann, RN
• John Fisgus, MD

• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.