Organization Active NPI

Fcfiv, LLC

  • Clinical Psychologist
  • Baton Rouge, LA
National Provider Identifier
1043849987
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
FCFIV, LLC
Practice address
6161 Perkins Rd Ste 1D
Baton Rouge, LA 70808-4119
Phone
(225) 963-0709
Fax
(225) 612-7092
NPI assigned
Apr 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
F Charles Frey, PHD
Title
Owner
Phone
(225) 937-1449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

6161 Perkins Rd Ste 1D
Baton Rouge, LA 70808-4119

Mailing address

6161 Perkins Rd Ste 1D
Baton Rouge, LA 70808-4119
Phone (225) 963-0709

Other names 1

  • Frey Psychology Doing business as

National Provider Directory

National Provider Directory

Locations

6161 Perkins Rd
Ste 1D
Baton Rouge, LA 70808
Phone (225) 963-0709

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1043849987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 PERKINS RD STE 1D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084119",
            "telephone_number": "225-963-0709",
            "fax_number": "225-612-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 PERKINS RD STE 1D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084119",
            "telephone_number": "225-963-0709",
            "fax_number": "225-612-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCFIV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-937-1449",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frey Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.