Gloria M Fraggetti, PHD, P.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY4559 Issued in FL

Practice address

3107 Stirling Rd Ste 103
Ft Lauderdale, FL 33312-8500

Phone

(954) 472-6808

Fax

(954) 925-9923

NPI assigned

Sep 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant, Doctor of Philosophy

Practice roles

Locations

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.

• Gloria M Fraggetti PHD PA

  • Psychologist
  • Ft Lauderdale, FL
  • NPI 1144324401

  FL, Psychologist

  Medicare reassignment NPD Authorized official
• Gloria M Fraggetti PHD PA

  • Psychologist
  • Ft Lauderdale, FL
  • NPI 1215304142
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1164526414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 STIRLING RD STE 103",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333128500",
            "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 STE 103",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333128500",
            "telephone_number": "954-472-6808",
            "fax_number": "954-925-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGGETTI",
        "first_name": "GLORIA",
        "middle_name": "M",
        "credential": "PHD, P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Ft Lauderdale, FL
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.