Individual provider Active NPI

Tamara Fisher, PSYD

  • Clinical Neuropsychologist
  • Sun City, AZ
National Provider Identifier
1801401369
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY-005292 Issued in AZ
Practice address
10474 W Thunderbird Blvd Ste 201
Sun City, AZ 85351-3015
Phone
(623) 377-7410
Fax
(866) 798-8023
NPI assigned
Sep 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-005292 AZ
Clinical Neuropsychologist 103G00000X PSY-005292 AZ Primary

Addresses

Primary practice location

10474 W Thunderbird Blvd Ste 201
Sun City, AZ 85351-3015

Mailing address

PO Box 2099
Sun City, AZ 85372-2099
Phone (623) 377-7410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20201015001550 AZ Practitioner - Clinical Psychologist 5193145043 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gilbert Neurology Partners PLLC CurrentSince Jun 13, 2022 Accepting new patients
Neurosin PLLC CurrentSince Jun 13, 2022 Accepting new patients

Locations

1452 N Higley Rd
Gilbert, AZ 85234
Phone (480) 813-9600

3507 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 926-0644

Organizations & group practices 2

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": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1801401369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2099",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853722099",
            "telephone_number": "623-377-7410",
            "fax_number": "866-798-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10474 W THUNDERBIRD BLVD STE 201",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513015",
            "telephone_number": "623-377-7410",
            "fax_number": "866-798-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "TAMARA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-005292",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "PSY-005292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.