Individual provider Active NPI

Dana L. Fry, PH.D.

  • Clinical Psychologist
  • Swarthmore, PA
National Provider Identifier
1083703334
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-007966-L Issued in PA
Practice address
5 S Chester Rd
Swarthmore, PA 19081-1718
Phone
(610) 724-7117
Fax
(267) 343-8860
NPI assigned
Oct 12, 2006
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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 PS-007966-L PA Primary

Addresses

Primary practice location

5 S Chester Rd
Swarthmore, PA 19081-1718

Mailing address

PO Box 384
Swarthmore, PA 19081-0384
Phone (610) 724-7117

Other practice location 1

2600 Philmont Ave Ste 412
Huntingdon Valley, PA 19006-5310
Phone (610) 724-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200427000865 PA Practitioner - Clinical Psychologist 6204266679 Practice locations: Huntingdon Valley, PA; Swarthmore, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5 S Chester Rd
Swarthmore, PA 19081-1718
Phone (610) 724-7117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS-007966-LPAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1083703334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 384",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190810384",
            "telephone_number": "610-724-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S CHESTER RD",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811718",
            "telephone_number": "610-724-7117",
            "fax_number": "267-343-8860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Philmont Ave Ste 412",
            "address_purpose": "LOCATION",
            "city": "Huntingdon Valley",
            "state": "PA",
            "postal_code": "190065310",
            "country_code": "US",
            "telephone_number": "610-724-7117",
            "fax_number": "267-343-8860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRY",
        "first_name": "DANA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-007966-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swarthmore, PA

Sources for this page

Verify at the official NPI Registry.