Individual provider Active NPI

Frederick Milton Kraft, LPA

  • Clinical Psychologist
  • Clayton, NC
National Provider Identifier
1033129291
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1742 Issued in NC
Practice address
221 Barbour St
Clayton, NC 27520-2403
Phone
(919) 550-0500
Fax
(919) 550-5120
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1742 NC Primary

Addresses

Primary practice location

221 Barbour St
Clayton, NC 27520-2403

Mailing address

115 Michael Way
Clayton, NC 27520-5507
Phone (919) 550-4880

Other identifiers 1

IdentifierTypeStateIssuer
1742OtherNCLPA

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

State licenses

LicenseStateTypeSpecialty
1742NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Kraft Psychological Services, PA Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033129291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MICHAEL WAY",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205507",
            "telephone_number": "919-550-4880",
            "fax_number": "919-359-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BARBOUR ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202403",
            "telephone_number": "919-550-0500",
            "fax_number": "919-550-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "FREDERICK",
        "middle_name": "MILTON",
        "name_prefix": "Mr.",
        "credential": "LPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPA",
            "identifier": "1742",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.