Ferde William Fritsche, PH.D, L.P.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 2514 Issued in MN

Practice address

1313 5TH St SE
Mailbox 45, Suite 114 B
Minneapolis, MN 55414-4504

Phone

(512) 819-7485

Fax

(612) 379-3183

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083838213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 CALIFORNIA AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082105",
            "telephone_number": "651-647-1653",
            "fax_number": "612-379-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 5TH ST SE",
            "address_2": "MAILBOX 45, SUITE 114 B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554144504",
            "telephone_number": "512-819-7485",
            "fax_number": "612-379-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITSCHE",
        "first_name": "FERDE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D, L.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 2514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope E. Frisch, D.O.
• Melvin Julius Frisch, M.D.
• Melinda Kay Fristedt, MSW, LICSW
• Stephanie Ann Fritch Lilla, MD
• Natalie Fritsch, MA, LADC, LPCC
• Carrie Lynn Fritz, OT
• Karly Fritz
• Katie Fritz, LICSW
• Mara Joan Fritz, NP
• Margo Fritz, MSW, LICSW

• Clinical Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.