Active NPI
Fredericka C Tate, MD
- Psychiatry Physician
- Springhouse, PA
National Provider Identifier
1043483712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD011929E
- Practice address
- 1018 North Bethlehem Pike Suite 200B
Springhouse, PA 19477 - Phone
- (215) 643-9151
- Fax
- (215) 836-1087
- NPI assigned
- Apr 2, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD011929E | PA | Primary |
Addresses
Primary practice location
1018 North Bethlehem Pike Suite 200B
Springhouse, PA 19477
Mailing address
6113 West Mill Rd
Flourtown, PA 19031
Phone (215) 643-9151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B004643700 | Other | PA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1043483712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6113 WEST MILL RD",
"city": "FLOURTOWN",
"state": "PA",
"postal_code": "19031",
"telephone_number": "215-643-9151",
"fax_number": "215-836-1087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 NORTH BETHLEHEM PIKE SUITE 200B",
"city": "SPRINGHOUSE",
"state": "PA",
"postal_code": "19477",
"telephone_number": "215-643-9151",
"fax_number": "215-836-1087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "FREDERICKA",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD011929E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "B004643700",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springhouse, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.