Pamela Tavernelli Frazier, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036.122831 Issued in IL

Practice address

4300 N Miller Rd
Suite 142
Scottsdale, AZ 85251-3619

Phone

(602) 617-6854

Fax

(312) 335-9311

NPI assigned

Jun 4, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 4, 2015 through May 4, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1184850158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N MICHIGAN AVE",
            "address_2": "SUITE 3100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112883",
            "telephone_number": "602-617-6854",
            "fax_number": "312-335-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N MILLER RD",
            "address_2": "SUITE 142",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513619",
            "telephone_number": "602-617-6854",
            "fax_number": "312-335-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "PAMELA",
        "middle_name": "TAVERNELLI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.122831",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "25671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Chao Fratantoni, ED.D.
• Gary R Fratesi, M.D.
• Mary C Frazee, NP
• Haley Grace Frazier, PA-C
• Jasmine Mitchell Frazier
• Rosita De Jesus Frazier, M.D.
• Sydni N Frazier, BS, RBT
• Frederick G. Dettmann, M.D.
• Frederick S. Simonie M.D. P.C.
• Ditina Jade Frederick, LMT, CHT, RM

• Psychiatry Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.