Active NPI
Carol Fishbein, PH.D.
- Counseling Psychologist
- Palm Beach Gardens, FL
National Provider Identifier
1831251404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PY0004551
- Practice address
- 800 Village Square Xing
211
Palm Beach Gardens, FL 33410-4540 - Phone
- (561) 776-1944
- Fax
- (561) 626-0594
- NPI assigned
- Dec 13, 2006
- Last updated
- Jul 8, 2007
- 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 | PY0004551 | FL | Primary |
Addresses
Primary practice location
800 Village Square Xing
211
Palm Beach Gardens, FL 33410-4540
Mailing address
800 Village Square Xing
211
Palm Beach Gardens, FL 33410-4540
Phone (561) 776-1944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2015 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0004551 | FL | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831251404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 VILLAGE SQUARE XING",
"address_2": "211",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104540",
"telephone_number": "561-776-1944",
"fax_number": "561-626-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 VILLAGE SQUARE XING",
"address_2": "211",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104540",
"telephone_number": "561-776-1944",
"fax_number": "561-626-0594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHBEIN",
"first_name": "CAROL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "PY0004551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.