Provider Demographics
NPI:1124584750
Name:FISCHMAN-ULBRICHT, JESSICA JAYNE (PSYD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:JAYNE
Last Name:FISCHMAN-ULBRICHT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:JAYNE
Other - Last Name:FISCHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:388 STATE ST STE 1100
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3538
Mailing Address - Country:US
Mailing Address - Phone:949-433-7882
Mailing Address - Fax:
Practice Address - Street 1:388 STATE ST STE 1100
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3538
Practice Address - Country:US
Practice Address - Phone:949-433-7882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-19
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health