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Dr. Michael Fish , PhD

Psychologist β€’ Davie, FL

Active NPI 1548358294 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

10200 W State Road 84 Ste 105
Davie, FL 333244218

Call 9543707692 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10200 W State Road 84 Ste 105

Davie, FL 333244218

Telephone 9543707692
Fax 9543702383
Organization at the Same NPPES Address or Phone
Michael Fish Phd Pa Facility NPI 1376723478

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1985

Years since graduation

41 years (graduated 1985)

CMS Doctors and Clinicians data list 1985 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Fish has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Fish as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Davie and Florida

17 active clinicians are listed under Psychologist with a practice address in Davie, FL (2,204 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Davie

5.9% of these 17 clinicians have the CMS telehealth indicator.

11.8% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES FL PY3726

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Value Options
056610 (FL)
Other Identifier Blue Cross/blue Shield
73683 (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20051213000223

Enrollment State Jurisdiction

FL

PECOS Control ID

5991726457

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

10200 W State Road 84 Ste 105

Davie, FL 333244218

Phone: 9543707692

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active October 10, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 10, 2017

Registered at 10200 W STATE ROAD 84 STE 105, DAVIE, FL 333244218 (Tel: 9543707692)

πŸ“
Updated Business Mailing Address October 10, 2017

Registered at 4581 WESTON RD STE 374, WESTON, FL 333313141 (Tel: 9543707692)

πŸ‘€
Provider Name / Credentials Updated October 10, 2017

Recorded as MICHAEL FISH, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2017

Psychologist (license number reported to NPPES: FL PY3726)

βœ…
NPI Profile Active November 02, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 02, 2007

Registered at 274 S UNIVERSITY DR, PLANTATION, FL 333243340 (Tel: 9543707692)

πŸ“
Business Mailing Address (Initial Record) November 02, 2007

Registered at 1304 SW 160TH AVE, SUITE 339, SUNRISE, FL 333261902 (Tel: 9544341985)

πŸ‘€
Provider Name / Credentials (Initial Record) November 02, 2007

Recorded as MICHAEL FISH, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2007

Psychologist (license number reported to NPPES: FL PY3726)

🟒
Initial NPI Registration & Enumeration October 10, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1548358294
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

4581 Weston Rd Ste 374

Weston, FL 333313141

Phone: 9543707692

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.