Jeffrey Adam Fishbein, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071005190 Issued in IL

Practice address

770 Lake Cook Rd Ste 250
Deerfield, IL 60015-4976

Phone

(847) 267-0001

Fax

(847) 267-0002

NPI assigned

Feb 23, 2009

Sex

Male

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

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.

Opted out of Medicare

Previously, effective Sep 8, 2016 through Sep 8, 2026

Medicare enrollment (NPD)

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.

• Apex Performance Consulting, Inc.

  • Exercise & Sports Psychologist
  • Deerfield, IL
  • NPI 1841658820
  NPD (past) Authorized official
• Dr. Jeffrey a. Fishbein, Psy.D, P.C

  • Psychologist
  • Deerfield, IL
  • NPI 1831321082
  NPD (past) Authorized official

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1992945547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 LAKE COOK RD STE 250",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154976",
            "telephone_number": "847-267-0001",
            "fax_number": "847-267-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 LAKE COOK RD STE 250",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154976",
            "telephone_number": "847-267-0001",
            "fax_number": "847-267-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBEIN",
        "first_name": "JEFFREY",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Field, DT
• Melissa Figuracion
• Kara P Fine, MD
• Kathi Michelle Fine, PH.D.
• David Fireside, LCMT
• Michelle Mishler Flowers, M.D.
• Camille Fontenot, RBT
• Gabrielle Fontenot, RBT
• Jeffrey J Foreman, M.D.
• Tamara R Fountain, M.D.

• Clinical Psychologist in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.