Individual provider Active NPI

Tammy Ann Fronzaglia, PH.D.

  • Counseling Psychologist
  • Danville, PA
National Provider Identifier
1134437502
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PS016809 Issued in PA
Practice address
50 Kirkbride Drive
Danville State Hospital
Danville, PA 17821-9195
Phone
(570) 271-4601
Fax
(570) 271-4802
NPI assigned
Sep 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PS016809 PA Primary

Addresses

Primary practice location

50 Kirkbride Drive
Danville State Hospital
Danville, PA 17821-9195

Mailing address

50 Kirkbride Drive
Danville State Hospital
Danville, PA 17821-9195
Phone (570) 271-4601

Other identifiers 1

IdentifierTypeStateIssuer
103198509OtherPAMEDICAL ASSISTANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110823000187 PA Practitioner - Clinical Psychologist 3375713795 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS016809PAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Department of Human Services CurrentSince Mar 20, 2017 Accepting new patients
Pennsylvania Department of Public Welfare CurrentSince Mar 20, 2017 Accepting new patients

Locations

50 Kirkbride Dr
Danville, PA 17821
Phone (570) 271-4542

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": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1134437502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 KIRKBRIDE DRIVE",
            "address_2": "DANVILLE STATE HOSPITAL",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178219195",
            "telephone_number": "570-271-4601",
            "fax_number": "570-271-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 KIRKBRIDE DRIVE",
            "address_2": "DANVILLE STATE HOSPITAL",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178219195",
            "telephone_number": "570-271-4601",
            "fax_number": "570-271-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONZAGLIA",
        "first_name": "TAMMY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS016809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "103198509",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.