Individual provider Active NPI

Eric J Frank, PSY. D.

  • Clinical Psychologist
  • Elma, NY
National Provider Identifier
1124122460
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
013220-1 Issued in NY
Practice address
960 W Maple CRT
Elma, NY 14059
Phone
(716) 805-1555
Fax
(716) 805-1444
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 013220-1 NY Primary

Addresses

Primary practice location

960 W Maple CRT
Elma, NY 14059

Mailing address

192 Burroughs Dr
Amherst, NY 14226-3969
Phone (716) 839-0385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070215000312 NY Practitioner - Clinical Psychologist 4880696129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
State of New York Comptrollers OfficeGroup PAC ID 0840101770, 171 clinicians

Practice addresses (Care Compare)

10714 N Rd
Perrysburg, NY 14129-9746
Phone (716) 532-1049

1200 E and W Rd
BLDG 16
West Seneca, NY 14224-3604
Phone (716) 517-2000

305 Main St
Binghamton, NY 13905-2524
Phone (607) 729-1295

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013220-1NYMDClinical Psychologist
013220NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Adult Services-Inc. PastSince Oct 1, 2006 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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124122460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 BURROUGHS DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263969",
            "telephone_number": "716-839-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W MAPLE CRT",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "14059",
            "telephone_number": "716-805-1555",
            "fax_number": "716-805-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013220-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elma, NY

Sources for this page

Verify at the official NPI Registry.