DARA STEPHANIE FISHER PSYD
NPI 1962781922
Psychologist in Philadelphia, PA

Active since August 09, 2011Opted out of Medicare · through Apr 1, 2028
85.48/100
CMS Quality Rating
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION, PHILADELPHIA, PA 19104(215) 662-3606 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dara Stephanie Fisher Psyd NPPES

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

DARA STEPHANIE FISHER PSYD (NPI 1962781922) is an individual psychologist in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS017013) and active in the NPI registry since August 2011. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1962781922
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDARA STEPHANIE FISHERCredential: PSYD
Location Address3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILIONPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center Blvd, 2nd Floor, South PavilionPhiladelphia, PA 19104-5127 · (215) 662-3606
Sole ProprietorNo
Enumeration DateAugust 9, 2011
Last NPPES UpdateAugust 6, 2015
NPI 1962781922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS017013
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dara Stephanie Fisher 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104

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 Dara Fisher's NPI number?

The NPI number for Dara Fisher is 1962781922. It was assigned to this individual provider in the NPPES registry on August 9, 2011.

Where is Dara Fisher located?

Dara Fisher practices at 3400 Civic Center Blvd 2nd Floor, South Pavilion, Philadelphia, PA 19104. The listed phone number is (215) 662-3606.

What is Dara Fisher's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Dara Fisher enrolled in Medicare?

No. Dara Fisher has opted out of Medicare through April 1, 2028. 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 Dara Fisher was last updated on August 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.