JAMES FENSTERMACHER PSYD
NPI 1295181154
Psychologist - Clinical in Crown Point, IN

Q: What is James Fenstermacher's NPI number?

The NPI number for James Fenstermacher is 1295181154. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Q: What is James Fenstermacher's specialty?

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

Active since May 10, 2016PECOS Enrolled

82.31/100

CMS Quality Rating

2100 N MAIN ST STE 304, CROWN POINT, IN 46307(574) 546-1900(574) 546-1999 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2021, May 10, 2016 (2 updates tracked since 2016).

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About James Fenstermacher Psyd NPPES

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

JAMES FENSTERMACHER PSYD (NPI 1295181154) is an individual clinical provider in Crown Point, Indiana, licensed in Michigan (6301018918) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295181154

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJAMES FENSTERMACHERCredential: PSYD

Location Address2100 N MAIN ST STE 304Crown Point, IN 46307-1877

Mailing AddressPo Box 10299Fort Wayne, IN 46851-0299 · (574) 546-1900 · Fax (574) 546-1999

Phone(574) 546-1900

Fax(574) 546-1999

Sole ProprietorNo

Enumeration DateMay 10, 2016

Last NPPES UpdateMay 1, 20252 updates tracked since enumeration

NPPES CertifiedMay 1, 2025

✔ NPI 1295181154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in MI · 6301018918✔ Licensed in IL · 071009285✔ Licensed in IN · 20042942A

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.

2100 N MAIN ST STE 304, Crown Point, IN 46307

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Fenstermacher Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

1,954 services253 patients

Psychiatric services complicated by communication factor 90785

Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.

1,415 services218 patients

Psychotherapy, 30 minutes 90832

130 services46 patients

Psychiatric services complicated by communication factor 90785

94 services37 patients

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

82 services80 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

47 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$161.76 typical visit price

range $53.07 – $161.76

Typical copayment $40.44 (range $13.26 – $40.44)

Most-billed visit code 99205

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

59.88

Promoting Interoperability

100

Improvement Activities

Cost

47.82

Other Providers at the Same Location NPPES 20

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

MISS MELISSA D PATTERSON-WRIGHT MSW

Social Worker (Clinical)