Individual provider Active NPI

Joseph G Frechen, MD

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1073500609
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9352 Issued in NM
Practice address
10844 N 23Rd Ave Ste 200
Phoenix, AZ 85029-4947
Phone
(602) 808-2800
Fax
(505) 439-2860
NPI assigned
Sep 29, 2005
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 53150 AZ
Psychiatry Physician 2084P0800X 9352 NM Primary

Addresses

Primary practice location

10844 N 23Rd Ave Ste 200
Phoenix, AZ 85029-4947

Mailing address

202 E Earll Dr Ste 200
Phoenix, AZ 85012-2647
Phone (602) 808-2800

Other identifiers 1

IdentifierTypeStateIssuer
373413MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041103000593 NM Practitioner - Psychiatry 7517929391 Reassigns benefits to 1 organization
I20220202000851 AZ Practitioner - Psychiatry 7517929391 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53150AZMDPsychiatry Physician
9352NMMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Border Area Mental Health Services, Inc CurrentSince Jun 1, 2021 Accepting new patients
State of Montana Current Accepting new patients
Lifewell Behavioral Wellness CurrentSince Feb 19, 2023 Accepting new patients
New Mexico Health Options Past Accepting new patients
Counseling Center, Inc. Past Accepting new patients
Roswell Hospital Corporation Psychiatry Past Accepting new patients
New Mexico Psychiatric Services Corporation Past Accepting new patients

Locations

202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404

10844 N 23rd Ave
Ste 200
Phoenix, AZ 85029
Phone (602) 353-2340

400 Veterans Dr
Columbia Fls, MT 59912
Phone (406) 892-3256

111 N Sanders St
#30
Helena, MT 59601

100 W Griggs Ave
Las Cruces, NM 88001
Phone (505) 647-2800

315 S Hudson St
Ste 12
Silver City, NM 88061
Phone (575) 388-4497

Interoperability endpoints

  • Direct secure messaging: joseph.frechen.p1@direct.lifewell.nextgenshare.com

Organizations & group practices 8

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1073500609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122647",
            "telephone_number": "602-808-2800",
            "fax_number": "505-439-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10844 N 23RD AVE STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294947",
            "telephone_number": "602-808-2800",
            "fax_number": "505-439-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRECHEN",
        "first_name": "JOSEPH",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "53150",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "9352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373413",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.