Active NPI
Janelle Kianna Fisher
- Clinical Psychologist
- McClellan, CA
National Provider Identifier
1851418545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 23918
- Practice address
- 4931 Arnold Ave Ste 10
McClellan, CA 95652-2528 - Phone
- (916) 265-4008
- NPI assigned
- Mar 26, 2007
- Last updated
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 23918 | CA | Primary |
Addresses
Primary practice location
4931 Arnold Ave Ste 10
McClellan, CA 95652-2528
Mailing address
4931 Arnold Ave Ste 10
McClellan, CA 95652-2528
Phone (916) 265-4008
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4931 Arnold Ave
Suite 10
McClellan, CA 95652-2528
Phone (858) 481-8827
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janelle K Fisher | Current | Accepting new patients |
Locations
4931 Arnold Ave
Ste 10
McClellan, CA 95652
Phone (916) 265-4008
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- McClellan, CA
- NPI 1467037150
-
- Psychologist
- McClellan, CA
- NPI 1316643810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1851418545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4931 ARNOLD AVE STE 10",
"city": "MCCLELLAN",
"state": "CA",
"postal_code": "956522528",
"telephone_number": "916-265-4008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4931 ARNOLD AVE STE 10",
"city": "MCCLELLAN",
"state": "CA",
"postal_code": "956522528",
"telephone_number": "916-265-4008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "JANELLE",
"middle_name": "KIANNA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "23918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McClellan, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.