Individual provider Active NPI

Charmie Faith Alagos Frykman

  • Psychiatric/Mental Health Nurse Practitioner
  • Holyoke, MA
National Provider Identifier
1043093198
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1095310 Issued in TX
Practice address
1233 Main St
Holyoke, MA 01040-5381
Phone
(413) 701-2600
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1095310 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2382379 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71378 NM

Addresses

Primary practice location

1233 Main St
Holyoke, MA 01040-5381

Mailing address

401 Morning Glory LN
Mansfield, TX 76063-2220
Phone (469) 309-3287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240517000326 MA Practitioner - Nurse Practitioner 0345681607 Reassigns benefits to 1 organization
I20250424002004 TX Practitioner - Nurse Practitioner 0345681607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holistic Health and PsychiatryGroup PAC ID 5890105829, 6 clinicians

Practice addresses (Care Compare)

4601 Hollow Tree Dr
Suite 111
Arlington, TX 76018-1288
Phone (817) 546-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71378NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Health and Psychiatry Psychiatric/Mental Health CurrentSince Feb 13, 2025 Accepting new patients
Holyoke Capital JV, LLC CurrentSince Apr 9, 2024 Accepting new patients

Locations

1233 Main St
Holyoke, MA 01040
Phone (413) 264-0819

4601 Hollow Tree Dr
Ste 111
Arlington, TX 76018
Phone (817) 546-8000

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1043093198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MORNING GLORY LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632220",
            "telephone_number": "469-309-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 MAIN ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405381",
            "telephone_number": "413-701-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYKMAN",
        "first_name": "CHARMIE FAITH",
        "middle_name": "ALAGOS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1095310",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2382379",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "71378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.