Individual provider Active NPI

Frank Andrasik, PH.D.

  • Clinical Psychologist
  • Gulf Breeze, FL
National Provider Identifier
1063667913
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 3888 Issued in FL
Practice address
2948 Coral Strip Pkwy
Gulf Breeze, FL 32563-2635
Phone
(850) 346-8499
Fax
(850) 932-1214
NPI assigned
Nov 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY 3888 FL Primary

Addresses

Primary practice location

2948 Coral Strip Pkwy
Gulf Breeze, FL 32563-2635

Mailing address

2948 Coral Strip Pkwy
Gulf Breeze, FL 32563-2635
Phone (850) 346-8499

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY 3888FLMDClinical Psychologist

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": "1227052800000",
    "number": "1063667913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2948 CORAL STRIP PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632635",
            "telephone_number": "850-346-8499",
            "fax_number": "850-932-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2948 CORAL STRIP PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632635",
            "telephone_number": "850-346-8499",
            "fax_number": "850-932-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRASIK",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 3888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.