NPI Code Detail JSON Logo

1801401369 NPI number — TAMARA FISHER PSYD

NPI Number: 1801401369
Health Care Provider/Practitioner: TAMARA FISHER PSYD

Information about “1801401369” NPI (TAMARA FISHER PSYD) exists in 1801401369 in HTML format HTML  |  1801401369 in plain Text format TXT  |  1801401369 in PDF (Portable Document Format) PDF  |  1801401369 in an XML format XML  formats.

NPI Number : 1801401369 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801401369",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FISHER",
    "FirstName": "TAMARA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 2099",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUN CITY",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85372-2099",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "623-377-7410",
    "MailingAddressFaxNumber": "866-798-8023",
    "FirstLinePracticeLocationAddress": "10474 W THUNDERBIRD BLVD STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SUN CITY",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85351-3015",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "623-377-7410",
    "PracticeLocationAddressFaxNumber": "866-798-8023",
    "EnumerationDate": "09/11/2020",
    "LastUpdateDate": "09/23/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "PSY-005292",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103G00000X",
          "TaxonomyName": "Clinical Neuropsychologist",
          "LicenseNumber": "PSY-005292",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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