Individual provider Active NPI

David Charles Frauman, PHD

  • Clinical Psychologist
  • Indianapolis, IN
National Provider Identifier
1184791964
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20040002A Issued in IN
Practice address
6367 N Guilford Ave
2ND Floor
Indianapolis, IN 46220-1749
Phone
(317) 255-7009
Fax
(317) 255-0850
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20040002A IN Primary

Addresses

Primary practice location

6367 N Guilford Ave
2ND Floor
Indianapolis, IN 46220-1749

Mailing address

6367 N Guilford Ave
2ND Floor
Indianapolis, IN 46220-1749
Phone (317) 255-7009

Other identifiers 2

IdentifierTypeStateIssuer
010681OtherVALUE OPTIONS
000000176173OtherANTHEM BLUE CROSS BLUE SH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184791964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6367 N GUILFORD AVE",
            "address_2": "2ND FLOOR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201749",
            "telephone_number": "317-255-7009",
            "fax_number": "317-255-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6367 N GUILFORD AVE",
            "address_2": "2ND FLOOR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201749",
            "telephone_number": "317-255-7009",
            "fax_number": "317-255-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAUMAN",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040002A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "010681",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000176173",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.