Individual provider Active NPI

Jason Scott Frishman, PSY.D.

  • Clinical Psychologist
  • Burlington, VT
National Provider Identifier
1083883045
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
048-0000918 Issued in VT
Practice address
149 Cherry St
Burlington, VT 05401-3817
Phone
(802) 863-2495
Fax
(802) 865-0534
NPI assigned
Feb 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 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 048-0000918 VT Primary

Addresses

Primary practice location

149 Cherry St
Burlington, VT 05401-3817

Mailing address

149 Cherry St
Burlington, VT 05401-3817
Phone (802) 863-2495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20080611000165 VT Practitioner - Clinical Psychologist 7315018827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Networks, Inc.Group PAC ID 2062502123, 4 clinicians

Practice addresses (Care Compare)

125 College St
Suite 3
Burlington, VT 05401-8444
Phone (802) 863-2495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048-0000918VTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Networks Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1083883045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 CHERRY ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013817",
            "telephone_number": "802-863-2495",
            "fax_number": "802-865-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 CHERRY ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013817",
            "telephone_number": "802-863-2495",
            "fax_number": "802-865-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISHMAN",
        "first_name": "JASON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048-0000918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.