DR. JAN L FISHER PHD
NPI 1306357967
Psychologist - Clinical in Redwood City, CA

Q: What is Jan Fisher's NPI number?

The NPI number for Jan Fisher is 1306357967. It was assigned to this individual provider in the NPPES registry on October 22, 2017.

Q: What is Jan Fisher's specialty?

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

Q: Is Jan Fisher enrolled in Medicare?

No. Jan Fisher has opted out of Medicare through October 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jan Fisher was last updated on October 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 22, 2017Opted out of Medicare · through Oct 15, 2027

61 RENATO CT STE 7, REDWOOD CITY, CA 94061(650) 261-6692 Get Directions Write a Review

NPPES record last updated: October 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jan L Fisher Phd NPPES

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

DR. JAN L FISHER PHD (NPI 1306357967) is an individual clinical provider in Redwood City, California, licensed in California (16569) and active in the NPI registry since October 2017. She has opted out of Medicare through October 15, 2027.

NPPES Registry Identity

NPI1306357967

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JAN L FISHERCredential: PHD

Location Address61 RENATO CT STE 7Redwood City, CA 94061-4016

Mailing Address61 Renato Ct Ste 7Redwood City, CA 94061-4016 · (650) 261-6692

Phone(650) 261-6692

Sole ProprietorYes

Enumeration DateOctober 22, 2017

✔ NPI 1306357967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 16569

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.

61 RENATO CT STE 7, Redwood City, CA 94061

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jan L Fisher Phd 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 October 15, 2021 through October 15, 2027.

Opt-Out Effective DateOctober 15, 2021

Opt-Out In Effect ThroughOctober 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DANIEL GRANT LITTLE

Marriage & Family Therapist

61 RENATO CT STE 7
REDWOOD CITY, CA 94061

San Mateo County (650) 667-1101

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 Jan Fisher's NPI number?

The NPI number for Jan Fisher is 1306357967. It was assigned to this individual provider in the NPPES registry on October 22, 2017.

Where is Jan Fisher located?

Jan Fisher practices at 61 Renato Ct Ste 7, Redwood City, CA 94061. The listed phone number is (650) 261-6692.

What is Jan Fisher's specialty?

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

Is Jan Fisher enrolled in Medicare?

No. Jan Fisher has opted out of Medicare through October 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jan Fisher was last updated on October 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.