Active NPI
Jillian Beth Frank, PH.D.
- Clinical Psychologist
- Brookline, MA
National Provider Identifier
1124154257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7704
- Practice address
- 1330 Beacon St
Suite 252
Brookline, MA 02446-3282 - Phone
- (617) 731-1411
- NPI assigned
- Feb 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7704 | MA | Primary |
Addresses
Primary practice location
1330 Beacon St
Suite 252
Brookline, MA 02446-3282
Mailing address
1330 Beacon St
Suite 252
Brookline, MA 02446-3282
Phone (617) 966-1476
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27-0074694 | Other | MA | EMPLOYEE IDENTIFI. NUMBER |
| W05941 | Other | MA | BCBS PROVIDER NUMBER |
Other names 1
- Dr. Jillian Beth Frank
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7704 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1124154257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 BEACON ST",
"address_2": "SUITE 252",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463282",
"telephone_number": "617-966-1476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 BEACON ST",
"address_2": "SUITE 252",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463282",
"telephone_number": "617-731-1411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANK",
"first_name": "JILLIAN",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-25",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYEE IDENTIFI. NUMBER",
"identifier": "27-0074694",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "W05941",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JILLIAN",
"last_name": "FRANK",
"middle_name": "BETH",
"prefix": "DR.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.