Staci D Fleisher, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS016905 Issued in PA

Practice address

10521 Drummond Rd
Spin-Behavioral and Developmental Services
Philadelphia, PA 19154-3807

Phone

(267) 688-4285

NPI assigned

Nov 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Special People in Northeast, Inc.

  • Local Education Agency (LEA)
  • Philadelphia, PA
  • NPI 1780710137
  NPD (past)
• Special People in Northeast, Inc.

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1922135219
  NPD (past)

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1962703330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10521 DRUMMOND RD",
            "address_2": "SPIN-BEHAVIORAL AND DEVELOPMENTAL SERVICES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191543807",
            "telephone_number": "267-688-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 DRUMMOND RD",
            "address_2": "SPIN-BEHAVIORAL AND DEVELOPMENTAL SERVICES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191543807",
            "telephone_number": "267-688-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISHER",
        "first_name": "STACI",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Barry Fleischman, DDS
• Todd Alan Fleischman, D.M.D.
• Joanne Fleisher, LCSW
• Lee Fleisher, MD
• Robert Michael Fleisher, DMD
• Rachel Amy Fleishman, MD
• Katherine Fleming Cohen, CRNP
• Sara' Fleming-Donley, DTR
• Cindy Lou Fleming-Powell, MA
• Ayla Fleming, LSW

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.