JOHN W FISHBURNE PHD PS
NPI 1669864047
Psychologist - Clinical in Wenatchee, WA
About John W Fishburne Phd Ps NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN W FISHBURNE PHD PS (NPI 1669864047) is a healthcare organization registered as a clinical in Wenatchee, Washington and active in the NPI registry since February 2015. The organization lists John Wood Fishburne, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John W Fishburne Phd Ps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to John W Fishburne Phd Ps, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 John W Fishburne Phd Ps's NPI number?
The NPI number for John W Fishburne Phd Ps is 1669864047. It was assigned to this organization in the NPPES registry on February 23, 2015.
Where is John W Fishburne Phd Ps located?
John W Fishburne Phd Ps is located at 23 S Wenatchee Ave Ste 202, Wenatchee, WA 98801. The listed phone number is (509) 888-0048.
What is John W Fishburne Phd Ps's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is John W Fishburne Phd Ps enrolled in Medicare?
Yes. John W Fishburne Phd Ps is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through John W Fishburne Phd Ps?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to John W Fishburne Phd Ps. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for John W Fishburne Phd Ps was last updated on July 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# John W Fishburne Phd Ps · NPI 1669864047
Clinical organization in Wenatchee, Washington. Organization record, active in the CMS NPPES registry since February 23, 2015.
## Identity
- **NPI:** 1669864047 (Entity type: Organization)
- **Enumerated:** February 23, 2015
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** John Fishburne, OWNER
## Practice location
- **Address:** 23 S WENATCHEE AVE STE 202, Wenatchee, WA 98801-2274
- **Phone:** (509) 888-0048 · **Fax:** (509) 888-0923
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1669864047) · Data from the CMS NPPES public registry.