Individual provider Active NPI

Jill Fischer, PSY.D.

  • Clinical Psychologist
  • Monroeville, PA
National Provider Identifier
1912177031
Registry record updated Dec 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016836 Issued in PA
Practice address
4232 Northern Pike
Suite 201
Monroeville, PA 15146-2732
Phone
(412) 663-0062
Fax
(412) 202-1705
NPI assigned
Mar 4, 2008
Last updated
Dec 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2011

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 PSY21698 CA
Clinical Psychologist 103TC0700X PS016836 PA Primary

Addresses

Primary practice location

4232 Northern Pike
Suite 201
Monroeville, PA 15146-2732

Mailing address

4232 Northern Pike
Suite 201
Monroeville, PA 15146-2732
Phone (412) 663-0062

Other identifiers 1

IdentifierTypeStateIssuer
102463971-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200616002849 PA Practitioner - Clinical Psychologist 7012273451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrity Psychological Services, P.C.Group PAC ID 2668894940, 7 clinicians

Practice addresses (Care Compare)

4232 Northern Pike
Suite 201
Monroeville, PA 15146-2720
Phone 41266630061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY21698CAMDClinical Psychologist
PS016836PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Psychological Services, PC Clinical CurrentSince Aug 11, 2010 Accepting new patients

Locations

4232 Northern Pike
Ste 201
Monroeville, PA 15146
Phone (412) 663-0062

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324771200000",
    "number": "1912177031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 NORTHERN PIKE",
            "address_2": "SUITE 201",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462732",
            "telephone_number": "412-663-0062",
            "fax_number": "412-202-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 NORTHERN PIKE",
            "address_2": "SUITE 201",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462732",
            "telephone_number": "412-663-0062",
            "fax_number": "412-202-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2011-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21698",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102463971-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.