DR. JEFFREY L FISHER (NPI# 1598759722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598759722 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY L FISHER |
| Credential | PSYD |
| Practice Address |
2121 Lake Ave. Va Northern Indiana Health Care System Fort Wayne IN 56805-5100 |
| Mailing Address |
2121 Lake Ave Va Northern Indiana Fort Wayne IN 56805-5100 |
| Practice Telephone | 2604265431 |
| Practice Fax Number | 2604601482 |
| Mailing Telephone | 2604265431 |
| Mailing Fax Number | 2604601482 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2013-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 20041565S | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200319750 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801077466 | Jeffrey Douglas Fisher | Military Health Care Provider | 2709 Apt A, Cushman Ave, Kailua, HI 96734 | 2007-11-23 |
| 1245432566 | Jeffrey P. Fisher | Dentist | 4400 Buffalo Rd, Auburn, CA 95602-7904 | 2007-05-31 |
| 1730282948 | Jeffrey J. Fisher | Dentist | 119 N Us Highway 31, Whiteland, IN 46184-1459 | 2006-09-06 |
| 1508880634 | Jeffrey D Fisher | Internal Medicine | 311 E 72nd Street, New York, NY 10021 | 2006-07-26 |
| 1588669691 | Jeffrey James Fisher | Family Medicine | 1811 Highway 287 N, Ste 150, Mansfield, TX 76063-7595 | 2005-06-15 |
| 1821252461 | Jeffrey William Fisher | Optometrist | 6192 Gunn Hwy, Tampa, FL 33625-4014 | 2008-07-14 |
| 1295935740 | Jeffrey Robert Fisher | Dentist | 1444 W Mound St, Columbus, OH 43223-1907 | 2007-07-23 |
| 1194930891 | Jeffrey Fisher | Internal Medicine | 8545 Common Rd, # 200, Warren, MI 48093-6772 | 2007-05-14 |
| 1407973845 | Jeffrey Allen Fisher | Chiropractor | 1450 E 17th St, Ste. 220, Santa Ana, CA 92705-8510 | 2007-03-22 |
| 1679634505 | Jeffrey Douglas Fisher | Chiropractor | 320 Palo Pinto St, Weatherford, TX 76086 | 2006-12-13 |
| Street Address |
2121 LAKE AVE. VA NORTHERN INDIANA HEALTH CARE SYSTEM |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 56805-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043002 | Lauren Neuenschwander | Dietitian, Registered | 10017 Schuyler Ct, Fort Wayne, IN 46804-4377 | 2020-11-07 |
| 1629679170 | Gentlemind Health Services | Clinic/Center | 3635 Lake Ave, Fort Wayne, IN 46805-5539 | 2020-11-02 |
| 1710587548 | Laura Raquel Rochford | Social Worker | 3702 New Vision Dr Bldg B, Fort Wayne, IN 46845-1703 | 2020-10-30 |
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1891394599 | Laury Farrell | Nurse Practitioner | 6017 Stoney Creek Dr, Fort Wayne, IN 46825-4410 | 2020-10-22 |
| 1629677604 | Dameta Diane Williams | Massage Therapist | 3525 Lake Ave, Fort Wayne, IN 46805-5599 | 2020-10-21 |
| 1730787599 | Crystal Neal | Nurse Practitioner | 4430 Keeneland Ln Unit 202, Fort Wayne, IN 46845-1985 | 2020-10-14 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1033717293 | Eva Marie Richardville | Occupational Therapist | 311 Airport North Office Park, Fort Wayne, IN 46825-6703 | 2020-10-10 |
| 1417555640 | Kara Peas | Physical Therapist | 11104 Parkview Circle Dr Ste 50, Fort Wayne, IN 46845-1733 | 2020-10-10 |
| Find all providers in FORT WAYNE | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457998007 | Ne Psychological LLC | Psychologist | 6343 Constitution Dr, Fort Wayne, IN 46804-1547 | 2019-12-03 |
| 1871032862 | Fort Wayne Neuropsychology LLC | Psychologist | 4306 E State Blvd, Fort Wayne, IN 46815-6915 | 2017-02-23 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| 1942555628 | Erin R. Bowman | Psychologist | 9910 Dupont Circle Dr E Ste 140, Fort Wayne, IN 46825-1618 | 2012-07-18 |
| 1548420474 | Marla J Souder | Psychologist | 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845-1714 | 2008-06-13 |
| 1891954665 | Rachel Mae Miller | Psychologist | 1300 Airport North Office Park, Fort Wayne, IN 46825-6716 | 2008-06-05 |
| 1265691257 | Cook Behavioral Health Clinic, PC | Psychologist | 7230 Engle Rd Ste 304, Fort Wayne, IN 46804-2209 | 2008-06-04 |
| 1114137080 | Candace Louise Martin | Psychologist | 6319 Constitution Dr, Fort Wayne, IN 46804-1547 | 2007-05-22 |
| 1134344823 | Mary E Locke Phd Hspp LLC | Psychologist | 7337 W Jefferson Blvd Ste 175, Fort Wayne, IN 46804-6286 | 2007-04-16 |
| 1891818126 | John F Newbauer | Psychologist | 10008 Saint Clairs Retreat, Fort Wayne, IN 46825-2025 | 2007-04-10 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 56805 |
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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.