Active NPI
Maria Fraire, PHD
- Clinical Psychologist
- Middleboro, MA
National Provider Identifier
1124480991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10335
- Practice address
- 23 Isaac St
Child and Adolescent Ocdi
Middleboro, MA 02346-2080 - Phone
- (774) 419-1179
- NPI assigned
- Mar 22, 2016
- 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 | 10335 | MA | Primary |
Addresses
Primary practice location
23 Isaac St
Child and Adolescent Ocdi
Middleboro, MA 02346-2080
Mailing address
23 Isaac St
Child and Adolescent Ocdi
Middleboro, MA 02346-2080
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 |
|---|---|---|---|
| 10335 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The McLean Hospital Corporation | Clinical | Current | Accepting new patients |
Locations
23 Isaac St
Middleboro, MA 02346
Phone (774) 419-1000
Interoperability endpoints
- fraire.maria.mcl@direct.partners.masshiway.net
Organizations & group practices 1
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": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1124480991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 ISAAC ST",
"address_2": "CHILD AND ADOLESCENT OCDI",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "023462080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 ISAAC ST",
"address_2": "CHILD AND ADOLESCENT OCDI",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "023462080",
"telephone_number": "774-419-1179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAIRE",
"first_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.