Individual provider Active NPI

Jessica Danielle Frihart, PMHNP, CNS, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Walnut Creek, CA
National Provider Identifier
1063667236
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95023994 Issued in CA
Practice address
370 N Wiget LN Ste 100
Walnut Creek, CA 94598-2454
Phone
(925) 658-3643
NPI assigned
Dec 1, 2008
Last updated
Mar 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95023994 CA Primary

Addresses

Primary practice location

370 N Wiget LN Ste 100
Walnut Creek, CA 94598-2454

Mailing address

251 Jackson Ave
Redwood City, CA 94061-1630
Phone (650) 368-2383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95023994CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita House, Inc. Current Accepting new patients
Bonita House, Inc. CurrentSince Nov 14, 2023 Accepting new patients
Caminar Past Accepting new patients

Locations

1919 Addison St
Ste 204
Berkeley, CA 94704
Phone (510) 899-7445

1605 Jefferson St
Oakland, CA 94612
Phone (510) 899-7445

6333 Telegraph Ave
Ste 102
Oakland, CA 94609
Phone (510) 548-2269

Organizations & group practices 3

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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1063667236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JACKSON AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940611630",
            "telephone_number": "650-368-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 N WIGET LN STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982454",
            "telephone_number": "925-658-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIHART",
        "first_name": "JESSICA",
        "middle_name": "DANIELLE",
        "credential": "PMHNP, CNS, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95023994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.