Individual provider Active NPI

Kathleen Walsh Fraysier, PHD

  • Psychologist
  • Asheville, NC
National Provider Identifier
1104498336
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
103445 Issued in NC
Practice address
1011 Tunnel Rd Ste 220
Asheville, NC 28805-2060
Phone
(828) 299-7451
NPI assigned
Jul 16, 2021
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 103445 NC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220706003837 NC Practitioner - Clinical Psychologist 6103206255 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103445NCMDPsychologist
6051NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Health Community Multispecialty Providers, LLC CurrentSince Jan 29, 2024 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Jan 29, 2024 Accepting new patients
Grandis Evaluation Center, P.C. Psychologist CurrentSince Jun 8, 2022 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

Organizations & group practices 4

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1104498336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BALL GAP RD",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287048747",
            "telephone_number": "954-778-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 TUNNEL RD STE 220",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052060",
            "telephone_number": "828-299-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAYSIER",
        "first_name": "KATHLEEN",
        "middle_name": "WALSH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "103445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.