Kathleen Walsh Fraysier, PHD
Individual provider Active NPI Psychologist · Asheville, NC
NPI 1104498336 · NPPES record last updated Jul 16, 2021
Key facts
- NPI
- 1104498336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 103445 (NC)
- Practice address
- 1011 Tunnel Rd Ste 220
Asheville, NC 28805-2060 - Phone
- (828) 299-7451
- NPI assigned
- Jul 16, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220706003837 | NC | Practitioner - Clinical Psychologist | 6103206255 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103445 | NC | MD | Psychologist |
| 6051 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grandis Evaluation Center, P.C. | Psychologist | Current |
Accepting new patients |
| Mission Health Community Multispecialty Providers, LLC | Current |
Accepting new patients | |
| Mission Health Community Multispecialty Providers, LLC | Current | Accepting new patients | |
| Mission Community Anesthesiology Specialists LLC | Current |
Accepting new patients |
Locations
1011 Tunnel Rd
Ste 220
Asheville, NC 28805
Phone (828) 275-6060
11 Vanderbilt Park Dr
Asheville, NC 28803
Phone (828) 213-1780
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 103445 | NC | Yes |
Addresses
Primary practice location
1011 Tunnel Rd Ste 220
Asheville, NC 28805-2060
Mailing address
66 Ball Gap Rd
Arden, NC 28704-8747
Phone (954) 778-5393
Other providers in Asheville, NC
- Annabel Owings Franz
- Tiffany B Franzo
- Laurie Jane Frarey
- Emily Fraser
- Daniel James Frayne
- David Bryan Frazier
- Ellen M Freck
- Daniel Jason Fredericks
- Madeline McCauley Fredericks
- Lisa Fredsall
All providers in Asheville, NC · Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.