Individual provider Active NPI

Dedra Deann Frazier, PH.D

  • Clinical Child & Adolescent Psychologist
  • Lake Jackson, TX
National Provider Identifier
1225301328
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
34952 Issued in TX
Practice address
471 This Way St
Lake Jackson, TX 77566-5143
Phone
(979) 285-9242
Fax
(844) 273-6889
NPI assigned
Feb 20, 2012
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X
Clinical Child & Adolescent Psychologist 103TC2200X 34952 TX Primary

Addresses

Primary practice location

471 This Way St
Lake Jackson, TX 77566-5143

Mailing address

471 This Way St
Lake Jackson, TX 77566-5143
Phone (979) 285-9242

Other practice location 1

2225 County Road 90 Ste 105
Pearland, TX 77584-4891
Phone (979) 285-9242

Other names 1

  • Dr. Dedra Deann Lemon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20210106001273 TX Practitioner - Clinical Psychologist 1153734496 Practice locations: Pearland, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2225 County Rd
90 Suite 107
Pearland, TX 77584-4891
Phone (832) 979-4001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34952TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lemon Frazier Psychological Services CurrentSince May 18, 2025 Accepting new patients

Locations

471 This Way St
Lake Jackson, TX 77566
Phone (979) 285-9242

2225 County Road 90
Ste 105
Pearland, TX 77584
Phone (979) 285-9242

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1225301328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 THIS WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665143",
            "telephone_number": "979-285-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 THIS WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665143",
            "telephone_number": "979-285-9242",
            "fax_number": "844-273-6889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 County Road 90 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775844891",
            "country_code": "US",
            "telephone_number": "979-285-9242",
            "fax_number": "844-273-6889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "DEDRA",
        "middle_name": "DEANN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "34952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEDRA",
            "last_name": "LEMON",
            "middle_name": "DEANN",
            "prefix": "DR.",
            "credential": "PH.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.