Active NPI
Frederic Krell, PH.D.
- Forensic Psychologist
- Salem, MA
National Provider Identifier
1124189105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 762
- Practice address
- 1 Salem GRN
Salem, MA 01970-3724 - Phone
- (978) 740-3100
- Fax
- (978) 740-3100
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 762 | MA | Primary |
Addresses
Primary practice location
1 Salem GRN
Salem, MA 01970-3724
Mailing address
1 Salem GRN
Salem, MA 01970-3724
Phone (978) 740-3100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104133 | Other | MA | MERIT BEHAVIORAL |
| 95907 | Other | MA | MHN |
| IP098621 | Other | MA | MAGELLAN |
| W10327 | Other | MA | BLUE CROSS GROUP NUMBER |
| KRW01832 | Other | MA | BLUE CROSS INDIVIDUAL NUM |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124189105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SALEM GRN",
"city": "SALEM",
"state": "MA",
"postal_code": "019703724",
"telephone_number": "978-740-3100",
"fax_number": "978-740-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SALEM GRN",
"city": "SALEM",
"state": "MA",
"postal_code": "019703724",
"telephone_number": "978-740-3100",
"fax_number": "978-740-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRELL",
"first_name": "FREDERIC",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MA",
"license": "762",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERIT BEHAVIORAL",
"identifier": "104133",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "95907",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "IP098621",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP NUMBER",
"identifier": "W10327",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS INDIVIDUAL NUM",
"identifier": "KRW01832",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.