Active NPI
Rebecca Jacqueline Fraynt, PH.D.
- Psychologist
- Bremerton, WA
National Provider Identifier
1104948363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 60412749
- Practice address
- 555 Pacific Ave Ste 202
Bremerton, WA 98337-1903 - Phone
- (360) 782-1700
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 60412749 | WA | Primary |
Addresses
Primary practice location
555 Pacific Ave Ste 202
Bremerton, WA 98337-1903
Mailing address
555 Pacific Ave Ste 202
Bremerton, WA 98337-1903
Phone (360) 782-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60412749 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1104948363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 PACIFIC AVE STE 202",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983371903",
"telephone_number": "360-782-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 PACIFIC AVE STE 202",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983371903",
"telephone_number": "360-782-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAYNT",
"first_name": "REBECCA",
"middle_name": "JACQUELINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "60412749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.