CLIFFORD FISCH
Psychologist (Clinical)

Address: 702 Bloomingdale Road, Staten Island, NY 10309

CLIFFORD FISCH (NPI# 1104911643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104911643
Entity Type Individual
Full Name DR. CLIFFORD FISCH
Gender Male
Credential PSY.D
Practice Address 702 Bloomingdale Road
Staten Island
NY 10309
Practice Telephone 7183568629
Practice Fax Number 7189830348
Mailing Address 6475 Amboy Road
Staten Island
NY 10309
Mailing Telephone 7183568629
Mailing Fax Number 7189830348
Enumeration Date 2006-10-03
Last Update Date 2007-07-09
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
015562 NY Behavioral Health & Social Service Providers

Other Provider Identifiers

Identifier State Issuer Type Code
02574874 NY MEDICAID

Physician Overview

PECOS Associate Control (PAC) ID 3678564440
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20040520000635
Last Name FISCH
First Name CLIFFORD
Middle Name B
Credential CP
Location 702 Bloomingdale Rd, Staten Island, NY 10309-1606
Graduation Year 2001
Primary Specialty PSYCHOLOGIST, CLINICAL

Office Location

Street Address 702 BLOOMINGDALE ROAD
City STATEN ISLAND
State NY
Zip Code 10309

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1154816650 Nikki Schechter Occupational Therapist 3495 Richmond Road, Staten Island, NY 10309 2018-06-27
1659878213 Pauline Izzo Nurse Practitioner · Family 544 Darlington Ave, Staten Island, NY 10309 2018-04-10
1053822544 Dufort Psychological Services Pllc Psychologist · Cognitive & Behavioral 401 Bloomingdale Rd Suite 6, Staten Island, NY 10309 2017-10-24
1902324361 Anthony Orefice Home Health 55 Robin Ct, 1 St Floor, Staten Island, NY 10309 2017-09-06
1770007767 Graceann Cotroneo Specialist 61 Plumtree Lane, 1st Fl, Staten Island, NY 10309 2017-08-01
1477075836 Matthew Jordan Levine Specialist 15 Redwood Loop, Staten Island, NY 10309 2017-07-07
1619339256 Empire Vision Center, Inc. · Davis Visionworks Eyewear Supplier (Equipment, not the service) 205 Bricktown Way, Ste A, Staten Island, NY 10309 2016-03-23
1295109692 Danielle Kinsman Early Intervention Provider Agency 1007 Edgegrove Avenue, Staten Island, NY 10309 2015-11-23
1811363591 Daniella Aryeh Speech-Language Pathologist 997 Stafford Avenye, Staten Island, NY 10309 2015-08-17
1649652058 Visions By Victoria Rose Ltd. Technician/Technologist · Optician 639 Veterans Road West, Suite 5(e), Staten Island, NY 10309 2015-06-22
Find all providers in zip 10309

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003311218 Valentina Teresa Diglio 1110 South Ave Ste 5, Staten Island, NY 10314-3403 2018-03-28
1407205842 Neil B Madero 67 Jackson St, Staten Island, NY 10304-2229 2016-06-07
1306210125 Ife Landsmark New Broadview Manor - 70 Father Capodanno Blvd, Staten Island, NY 10305 2015-11-17
1639578206 Pakier Psychological Services P.C. 1550 Richmond Ave Ste 203, Staten Island, NY 10314-1578 2014-08-19
1316286800 Dawson D Dufort 256 Woodward Ave, Staten Island, NY 10314-4237 2013-02-04
1053695072 Shveta Mittal 180 Four Corners Rd, Staten Island, NY 10304-1222 2011-10-10
1841571312 Susan Merle Tyburczy 152 Ross Ave, Staten Island, NY 10306-2952 2011-08-29
1194022004 Lauriann Mancini · Lauriann Castrogiovanni 28 Brookside Loop, Staten Island, NY 10309-4501 2011-02-12
1780842922 Linda Marconi-Manda · Linda Marconi Manda 78 Cedarcliff Road, Staten Island, NY 10301-4402 2008-05-23
1962669374 Lucia Anna Bove 74 Nesmythe Terrace, Staten Island, NY 10301 2008-05-22
Find all providers in STATEN ISLAND

Competitor

Search similar providers

City STATEN ISLAND
Zip Code 10309

Similar providers

NPI Name Taxonomy Address Enumeration
1639375819 Dr. Clifford B. Fisch, Psyd PC Psychologist · Clinical 702 Bloomingdale Rd, Staten Island, NY 10309 2007-06-25
1487852521 Charles Fisch · Charles Fisch Social Worker · Clinical 425 Kings Hwy, Brooklyn, NY 11223-1629 2007-07-10
1275731457 Ronald David Fisch · Ronald David Fisch Counselor · Mental Health 2685 Lake Way, Cooper City, FL 33026-3671 2007-07-10
1366717902 Clifford LLC · Clifford Adult Foster Care Foster Care Agency 2039 Clifford St, Flint, MI 48503-4005 2012-03-15
1467478081 Clifford, LLC · Clifford Prime Care Afc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2039 Clifford St, Flint, MI 48503-4005 2006-07-15
1316299431 Celestine Clifford · Celeste Clifford Case Manager/Care Coordinator 1153 10th St, Suite A, Clermont, FL 34711-2872 2012-10-12
1235183518 Clifford Family Chiropractic Chiropractor Mt View Plaza, Suite 3, Clifford, PA 18413-0009 2006-05-20
1215038344 K. S. Clifford Clifford Chao Radiology · Radiation Oncology 622 West 168th Street, New York, NY 10032-3720 2006-09-25
1518145879 Clifford Township Volunteer Fire Company Ambulance · Land Transport 84 Main St, Clifford, PA 18413-9800 2008-02-08
1275874513 Elizabeth Ann Clifford · Betsy Ann Clifford Speech-Language Pathologist 351 Northwest Gregory, Lee's Summit, MO 64064 2013-03-12

Improve Information

Please provide details on CLIFFORD FISCH by submitting the form below, or post on facebook comments.

Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.

Dataset Information

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.

Trending Searches