Individual provider Active NPI

Jeffrey D Fishman, PH.D.

  • Psychologist
  • Amherst, MA
National Provider Identifier
1932329174
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6497 Issued in MA
Practice address
48 N Pleasant St
Suite 303
Amherst, MA 01002-1738
Phone
(413) 256-0947
Fax
(413) 548-1042
NPI assigned
Apr 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6497 MA Primary

Addresses

Primary practice location

48 N Pleasant St
Suite 303
Amherst, MA 01002-1738

Mailing address

48 N Pleasant St
Suite 303
Amherst, MA 01002-1738
Phone (413) 256-0947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20170605000854 MA Practitioner - Clinical Psychologist 8527335074 Practice locations: Amherst, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

48 N Pleasant St
Suite 303
Amherst, MA 01002-1741
Phone (413) 256-0947

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932329174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 N PLEASANT ST",
            "address_2": "SUITE 303",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021738",
            "telephone_number": "413-256-0947",
            "fax_number": "413-548-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N PLEASANT ST",
            "address_2": "SUITE 303",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021738",
            "telephone_number": "413-256-0947",
            "fax_number": "413-548-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "6497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.