Active NPI
Gloria M Fraggetti PHD PA
- Psychologist
- Ft Lauderdale, FL
National Provider Identifier
1144324401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY4559
- Legal business name
- GLORIA M FRAGGETTI PHD PA
- Practice address
- 3107 Stirling Rd
Ste 103
Ft Lauderdale, FL 33312-6565 - Phone
- (954) 472-6808
- Fax
- (954) 925-9923
- NPI assigned
- Sep 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gloria Marie Fraggetti, PHD
- Title
- Licensed Psychologist
- Phone
- (954) 472-6808
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY4559 | FL | Primary |
Addresses
Primary practice location
3107 Stirling Rd
Ste 103
Ft Lauderdale, FL 33312-6565
Mailing address
3107 Stirling Rd
Ste 103
Ft Lauderdale, FL 33312-6565
Phone (954) 472-6808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Gloria M Fraggetti PHD PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- Ft Lauderdale, FL
- NPI 1215304142
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Ft Lauderdale, FL
- NPI 1164526414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440460800000",
"number": "1144324401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3107 STIRLING RD",
"address_2": "STE 103",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333126565",
"telephone_number": "954-472-6808",
"fax_number": "954-925-9923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3107 STIRLING RD",
"address_2": "STE 103",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333126565",
"telephone_number": "954-472-6808",
"fax_number": "954-925-9923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLORIA M FRAGGETTI PHD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-08",
"last_updated": "2015-08-25",
"status": "A",
"authorized_official_last_name": "FRAGGETTI",
"authorized_official_first_name": "GLORIA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "954-472-6808",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "FL",
"license": "PY4559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.