DR. KENNETH C. FISCHER (NPI# 1457588311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457588311 |
| Entity Type | Individual |
| Full Name | DR. KENNETH C. FISCHER |
| Credential | PHD |
| Practice Address |
17241 Van Buren Blvd Riverside CA 92504-5942 |
| Mailing Address |
Po Box 53243 Riverside CA 92517-4243 |
| Practice Telephone | 9097258827 |
| Practice Fax Number | 9094255785 |
| Mailing Telephone | 9097258827 |
| Mailing Fax Number | 9094255786 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY4309 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205884152 | Kenneth J. Fischer | Optometrist | 65-1227 Opelo Rd, Kamuela, HI 96743-8401 | 2006-05-04 |
| 1134131402 | Kenneth Allen Fischer | Plastic Surgery | 1419 Westport Landing Pl, Suite 101, Manhattan, KS 66502-2906 | 2006-08-13 |
| 1982622528 | Kenneth J Fischer | Psychiatry & Neurology | 100 4th St S, Fargo, ND 58103-1929 | 2006-07-18 |
| 1073553244 | Kenneth A. Fischer | Emergency Medicine | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2006-06-07 |
| 1154372506 | Kenneth Clyde Fischer | Psychiatry & Neurology | 1190 Nw 95th St, Ste 402, Miami, FL 33150 | 2006-05-12 |
| Street Address |
17241 VAN BUREN BLVD |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92504-5942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1720628993 | Palm Lily LLC | Non-emergency Medical Transport (VAN) | 2900 Adams Street Suite A435, Riverside, CA 92504 | 2020-01-15 |
| 1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
| 1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
| 1255833794 | Adiana Loya | Student in an Organized Health Care Education/Training Program | 7550 Orchard St Apt #58, Riverside, CA 92504 | 2018-03-01 |
| 1023524162 | Chiara Heyer | Counselor | 4130 Adams St Ste B, Riverside, CA 92504 | 2017-12-27 |
| 1801313408 | Gustavo Gallo Avelar | Behavioral Analyst | 4125 Rucker Ln, Riverside, CA 92504 | 2017-08-24 |
| 1891226205 | Susana Herold | Assistant Behavior Analyst | 17460 Krameria Ave, Riverside, CA 92504 | 2017-03-27 |
| 1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
| 1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
| Find all providers in zip 92504 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601451 | Joshua Craig | Psychologist | 1660 Chicago Ave Ste M17, Riverside, CA 92507-2033 | 2020-08-24 |
| 1487205506 | Inland Psychiatric Medical Group, Inc. | Psychologist | 4049 Brockton Ave, Riverside, CA 92501-3440 | 2019-09-20 |
| 1427606813 | New England Center for Pediatric Psychology | Psychologist | 109 Worcester Ave, Riverside, RI 02915-3409 | 2019-08-28 |
| 1881188845 | Theodore Earl Swigart Iv | Psychologist | 5499 Grassy Trail Dr, Riverside, CA 92504-1213 | 2018-06-21 |
| 1053836445 | James Charles Husen | Psychologist | 3068 Brockton Ave, Riverside, CA 92501-2325 | 2017-08-07 |
| 1447623657 | Adrian Michelle Camargo Rubly | Psychologist | 4344 Latham St Ste 120, Riverside, CA 92501-1773 | 2015-11-10 |
| 1427424464 | Lindsay Lauren Wray | Psychologist | 5005 Canyon Crest Dr, Riverside, CA 92507-7721 | 2015-08-13 |
| 1225451685 | David Jon Eagle | Psychologist | 6719 Coral Leaf Ln, Riverside, CA 92506-6213 | 2014-01-21 |
| 1609114933 | Martha Elizabeth O'donnell | Psychologist | 153 Lockwood Rd, Riverside, CT 06878-1920 | 2013-01-22 |
| 1700181385 | Roger Sheldon Tilton | Psychologist | 7177 Brockton Ave Ste 227, Riverside, CA 92506-2633 | 2011-01-13 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.