NPIMap

Organization Active NPI

Christine E. Fisk Ms LLP PLLC

  • Psychologist
  • Bloomfield Township, MI
National Provider Identifier
1891015228
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301012916 Issued in MI
Legal business name
CHRISTINE E. FISK MS LLP PLLC
Practice address
4120 West Maple Road
Suite 101
Bloomfield Township, MI 48301
Phone
(248) 561-7308
Fax
(248) 855-4530
NPI assigned
Jun 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Ms. Christine Fisk, MSNPI 1215256581
Title
Ms
Phone
(248) 561-7308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 6301012916 MI Primary

Addresses

Primary practice location

4120 West Maple Road
Suite 101
Bloomfield Township, MI 48301

Mailing address

4120 West Maple Road
Suite 101
Bloomfield Township, MI 48301
Phone (248) 561-7308

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1891015228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 WEST MAPLE ROAD",
            "address_2": "SUITE 101",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "48301",
            "telephone_number": "248-561-7308",
            "fax_number": "248-855-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 WEST MAPLE ROAD",
            "address_2": "SUITE 101",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "48301",
            "telephone_number": "248-561-7308",
            "fax_number": "248-855-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE E. FISK MS LLP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "FISK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "MS",
        "authorized_official_telephone_number": "248-561-7308",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.