KATHERINE FISHMAN (NPI# 1477111318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477111318 |
| Entity Type | Individual |
| Full Name | KATHERINE FISHMAN |
| Credential | PHD, HSP-P |
| Practice Address |
895 State Farm Rd Ste 507 Boone NC 28607-5432 |
| Practice Telephone | 8282636287 |
| Mailing Telephone | 8282636287 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
5449 | NC | Behavioral Health & Social Service Providers |
| Street Address |
895 STATE FARM RD STE 507 |
| City | BOONE |
| State | NC |
| Zip Code | 28607-5432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346808466 | Hollyhock Counseling and Assessment Services, Pllc | Clinic/Center | 895 State Farm Rd Ste 507, Boone, NC 28607-5432 | 2019-06-04 |
| 1255990859 | Brendan Moore Finnegan | Counselor | 895 State Farm Rd Ste 507, Boone, NC 28607-5432 | 2019-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261232 | Blaire E. Warren, Dds, Pllc | Clinic/Center | 142 Doctors Drive, Boone, NC 28607 | 2019-12-09 |
| 1073176871 | Whitney B Van Sant | Psychologist | 719-a Greenway Rd., Boone, NC 28607 | 2019-04-17 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1891234019 | Laura Kacere | Counselor | 895 State Farm Rd Ste 507-5, Boone, NC 28607 | 2017-02-21 |
| 1902357320 | Innate Chiropractic - Pllc | Chiropractor | 838 State Farm Road, Ste 1, Boone, NC 28607 | 2016-10-20 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1639538895 | Lara Mele | Lactation Consultant, Non-RN | 180 Pine Hill Road, Boone, NC 28607 | 2016-02-16 |
| 1659749927 | Rachel Arledge | Counselor | 895 State Farm Rd. Bldg. 500, Ste. 505, Boone, NC 28607 | 2015-09-03 |
| 1346625431 | Kelly Walsh Whiteley | Dentist | 450 New Market Blvd Ste 2, Boone, NC 28607 | 2015-07-30 |
| 1184000234 | Ruby Amanda Stipe Blaylock | Physician Assistant | 2146 Blowing Rock Road - App Urgent Care, Boone, NC 28607 | 2015-07-30 |
| Find all providers in zip 28607 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841436649 | M & L Behavioral Services Inc. | Psychologist | 215 Boone Heights Dr., Suite 205, Boone, NC 28607 | 2008-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047793 | Carolinas Center for Evaluation and Treatment | Psychologist | 18151 W Catawba Ave Unit 15, Cornelius, NC 28031-5641 | 2020-03-03 |
| 1407495617 | John Leonard Ellis | Psychologist | 4439 Walnut Ridge Rd, Lenoir, NC 28645-3989 | 2020-01-06 |
| 1124670500 | Jenny Renville | Psychologist | 4600 Colony Rd Apt D, Charlotte, NC 28226-4833 | 2019-07-15 |
| 1942862552 | Edh1 LLC | Psychologist | 9027 Tibble Creek Way, Charlotte, NC 28227-6670 | 2019-07-03 |
| 1316446529 | Tiffany C. L. Bowden | Psychologist | 7341 Windy Ct W, Bailey, NC 27807 | 2018-02-03 |
| 1669983391 | Vickie Barnes | Psychologist | 110 Cameron Dr Apt 202, Elizabeth City, NC 27909-8914 | 2017-10-20 |
| 1194132878 | Stephen C Messer | Psychologist | 302 Copperline Dr Apt D, Chapel Hill, NC 27516-0416 | 2014-07-15 |
| 1356757918 | Reid Whiteside, Ph.d., P.C. | Psychologist | 1616 Evans Rd Ste 202, Cary, NC 27513 | 2014-07-03 |
| 1053755934 | Alisaha's Home Center | Psychologist | 8221 Ainsworth St, Charlotte, NC 28216-3693 | 2013-04-23 |
| 1982914560 | Alison Stacy Draper | Psychologist | 278 W Millbrook Rd, Raleigh, NC 27609 | 2010-10-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.