DR. CLIFFORD B. FISCH, PSYD PC
NPI 1639375819
Psychologist - Clinical in Staten Island, NY

Q: What is Dr. Clifford B. Fisch, Psyd PC's NPI number?

The NPI number for Dr. Clifford B. Fisch, Psyd PC is 1639375819. It was assigned to this organization in the NPPES registry on June 25, 2007.

Q: What is Dr. Clifford B. Fisch, Psyd PC's specialty?

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

Active since June 25, 2007

702 BLOOMINGDALE RD, STATEN ISLAND, NY 10309(718) 356-8629(718) 761-3162 Get Directions Write a Review

NPPES record last updated: June 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Clifford B. Fisch, Psyd Pc NPPES

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

DR. CLIFFORD B. FISCH, PSYD PC (NPI 1639375819) is a healthcare organization registered as a clinical in Staten Island, New York and active in the NPI registry since June 2007. The organization lists Clifford B Fisch, Owner, as its authorized official.

NPPES Registry Identity

NPI1639375819

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameDR. CLIFFORD B. FISCH, PSYD PC

Location Address702 BLOOMINGDALE RDStaten Island, NY 10309

Mailing Address702 Bloomingdale RdStaten Island, NY 10309-1606 · (718) 356-8629 · Fax (718) 761-3162

Phone(718) 356-8629

Fax(718) 761-3162

Organization SubpartNo

Authorized OfficialClifford B FischOwner · (718) 356-8629

Enumeration DateJune 25, 2007

Last NPPES UpdateJune 8, 2018

✔ NPI 1639375819 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 NY · 015562

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.

702 BLOOMINGDALE RD, Staten Island, NY 10309

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Other Identifiers 2

Medicaid02574874NY

Other167144PNY · Hip

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dr. Clifford B. Fisch, Psyd PC's NPI number?

The NPI number for Dr. Clifford B. Fisch, Psyd PC is 1639375819. It was assigned to this organization in the NPPES registry on June 25, 2007.

Where is Dr. Clifford B. Fisch, Psyd PC located?

Dr. Clifford B. Fisch, Psyd PC is located at 702 Bloomingdale Rd, Staten Island, NY 10309. The listed phone number is (718) 356-8629.

What is Dr. Clifford B. Fisch, Psyd PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Dr. Clifford B. Fisch, Psyd PC was last updated on June 8, 2018. 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.