Active NPI
Marc Thomas Frankel, PH.D.
- Clinical Psychologist
- Saint Louis, MO
National Provider Identifier
1033109434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY01123
- Practice address
- 23 Bellerive Acres
Saint Louis, MO 63121-4328 - Phone
- (314) 495-4843
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY01123 | MO | Primary |
Addresses
Primary practice location
23 Bellerive Acres
Saint Louis, MO 63121-4328
Mailing address
6642 Clayton Rd # 382
Saint Louis, MO 63117-1602
Phone (314) 725-8889
Other practice location 1
225 S Meramec Ave
Suite 504
Saint Louis, MO 63105-3511
Phone (314) 725-8889 ext. 1
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY01123 | MO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1033109434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6642 CLAYTON RD # 382",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171602",
"telephone_number": "314-725-8889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 BELLERIVE ACRES",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631214328",
"telephone_number": "314-495-4843"
}
],
"practiceLocations": [
{
"address_1": "225 S Meramec Ave",
"address_2": "Suite 504",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631053511",
"country_code": "US",
"telephone_number": "314-725-8889 x1",
"fax_number": "314-721-7574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRANKEL",
"first_name": "MARC",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "PY01123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.