Active NPI
Mia Romero Frimtzis, PSY.D.
- Clinical Psychologist
- San Luis Obispo, CA
National Provider Identifier
1215235643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSB34293
- Practice address
- 3113 Arezzo Dr
San Luis Obispo, CA 93401-7873 - Phone
- (760) 902-7785
- NPI assigned
- Mar 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PSB34293 | CA | |
| Counseling Psychologist | 103TC1900X | PSB34293 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSB34293 | CA | |
| Family Psychologist | 103TF0000X | PSB34293 | CA | |
| Group Psychotherapy Psychologist | 103TP2701X | PSB34293 | CA | |
| Clinical Psychologist | 103TC0700X | PSB34293 | CA | Primary |
Addresses
Primary practice location
3113 Arezzo Dr
San Luis Obispo, CA 93401-7873
Mailing address
3113 Arezzo Dr
San Luis Obispo, CA 93401-7873
Phone (760) 902-7785
Other names 1
- Dr. Mia Frimtzis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB34293 | CA | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729296000000",
"number": "1215235643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3113 AREZZO DR",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934017873",
"telephone_number": "760-902-7785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3113 AREZZO DR",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934017873",
"telephone_number": "760-902-7785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIMTZIS",
"first_name": "MIA",
"middle_name": "ROMERO",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-09",
"last_updated": "2024-10-19",
"certification_date": "2024-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSB34293",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSB34293",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSB34293",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CA",
"license": "PSB34293",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "PSB34293",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSB34293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIA",
"last_name": "FRIMTZIS",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.