Individual provider Active NPI

Stephan Jay Fleisher, PHD

  • Clinical Psychologist
  • North Hills, CA
National Provider Identifier
1851377329
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY5351 Issued in CA
Practice address
16031 Chase St
North Hills, CA 91343-6307
Phone
(818) 893-1811
Fax
(818) 895-1200
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY5351 CA Primary

Addresses

Primary practice location

16031 Chase St
North Hills, CA 91343-6307

Mailing address

16031 Chase St
North Hills, CA 91343-6307
Phone (818) 893-1811

Other identifiers 1

IdentifierTypeStateIssuer
00PL53510MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20101119000795 CA Practitioner - Clinical Psychologist 1557557246 Practice locations: North Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16031 Chase St
North Hills, CA 91343-6307
Phone (818) 893-1811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY5351CAMDClinical Psychologist
5351CAMDSpeech-Language Assistant

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851377329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16031 CHASE ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913436307",
            "telephone_number": "818-893-1811",
            "fax_number": "818-895-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16031 CHASE ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913436307",
            "telephone_number": "818-893-1811",
            "fax_number": "818-895-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISHER",
        "first_name": "STEPHAN",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY5351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PL53510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

Verify at the official NPI Registry.