Active NPI
David Shaw Frahm, PSYCHOLOGIST
- Psychologist
- Ithaca, NY
National Provider Identifier
1033364906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 010016-1
- Practice address
- 903 Hanshaw Rd
Suite 7
Ithaca, NY 14850-1530 - Phone
- (607) 333-7337
- Fax
- (607) 333-7337
- NPI assigned
- Nov 19, 2008
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 010016-1 | NY | Primary |
Addresses
Primary practice location
903 Hanshaw Rd
Suite 7
Ithaca, NY 14850-1530
Mailing address
903 Hanshaw Rd Ste 7
PO Box 4001
Ithaca, NY 14850-1530
Phone (607) 333-7337
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010016-1 | NY | MD | Speech-Language Pathologist |
| 010016 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1033364906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 HANSHAW RD STE 7",
"address_2": "PO BOX 4001",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501530",
"telephone_number": "607-333-7337",
"fax_number": "607-333-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 HANSHAW RD",
"address_2": "SUITE 7",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501530",
"telephone_number": "607-333-7337",
"fax_number": "607-333-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAHM",
"first_name": "DAVID",
"middle_name": "SHAW",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-19",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "010016-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.