MARTIN BRIAN FISHER JR. PSYD
NPI 1245662741
Psychologist - Clinical in Portland, OR

Active since August 06, 2013Opted out of Medicare · through Aug 12, 2026
1215 SW 18TH AVE, SUITE 4, PORTLAND, OR 97205(503) 318-3236 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martin Brian Fisher Jr. Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN BRIAN FISHER JR. PSYD (NPI 1245662741) is an individual clinical provider in Portland, Oregon, licensed in Oregon (2383) and active in the NPI registry since August 2013. He has opted out of Medicare through August 12, 2026.

NPPES Registry Identity

NPI1245662741
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMARTIN BRIAN FISHER JR.Credential: PSYD
Location Address1215 SW 18TH AVE, SUITE 4Portland, OR 97205-1711
Mailing Address2420 Se Taylor StPortland, OR 97214-2858 · (503) 318-3236
Sole ProprietorYes
Enumeration DateAugust 6, 2013
Last NPPES UpdateJuly 3, 2014
NPI 1245662741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in OR · 2383
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License 2383 (OR)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 2383 (OR)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 2383 (OR)
1215 SW 18TH AVE, Portland, OR 97205

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Martin Brian Fisher Jr. Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 12, 2024 through August 12, 2026.

Opt-Out Effective DateAugust 12, 2024
Opt-Out In Effect ThroughAugust 12, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1215 SW 18TH AVE
PORTLAND, OR 97205
Massage Therapist
1215 SW 18TH AVE
PORTLAND, OR 97205
Counselor
1215 SW 18TH AVE
PORTLAND, OR 97205
Massage Therapist
1215 SW 18TH AVE
PORTLAND, OR 97205
Counselor (Mental Health)
1215 SW 18TH AVE
PORTLAND, OR 97205
Social Worker (Clinical)
1215 SW 18TH AVE
PORTLAND, OR 97205
Counselor (Mental Health)
1215 SW 18TH AVE
PORTLAND, OR 97205
Psychologist (Clinical)
1215 SW 18TH AVE
PORTLAND, OR 97205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin Fisher's NPI number?

The NPI number for Martin Fisher is 1245662741. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is Martin Fisher located?

Martin Fisher practices at 1215 SW 18th Ave Suite 4, Portland, OR 97205. The listed phone number is (503) 318-3236.

What is Martin Fisher's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Martin Fisher enrolled in Medicare?

No. Martin Fisher has opted out of Medicare through August 12, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Martin Fisher accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Martin Fisher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Martin Fisher was last updated on July 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.