Active NPI
Carl Fischer
- Psychologist
- Willow Grove, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS018901
- Practice address
- 2300 Computer Rd Ste C15
Willow Grove, PA 19090-1735 - Phone
- (484) 440-9740
- NPI assigned
- Sep 25, 2017
- Last updated
- Sep 18, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS018901 | PA | Primary |
Addresses
Primary practice location
2300 Computer Rd Ste C15
Willow Grove, PA 19090-1735
Mailing address
2300 Computer Rd Ste C15
Willow Grove, PA 19090-1735
Phone (484) 440-9740
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Wallace St
Tucker Nursing Home
Philadelphia, PA 19123-2599
Phone (215) 235-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Medical Services, Inc. | Current | Accepting new patients | |
| Dragonfly Psychological Associates | Past | Accepting new patients |
Locations
160 Rock Hill Rd
Bala Cynwyd, PA 19004
Phone (610) 667-6080
160 Rock Hill Rd
Fl 1
Bala Cynwyd, PA 19004
Phone (610) 667-5460
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.
-
- Psychiatry Physician
- Bala Cynwyd, PA
- NPI 1659452027
-
- Clinical Psychologist
- Media, PA
- NPI 1831658376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1962911792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 COMPUTER RD STE C15",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901735",
"telephone_number": "484-440-9740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 COMPUTER RD STE C15",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901735",
"telephone_number": "484-440-9740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "CARL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-25",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS018901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.