Individual provider Active NPI

Robert B Frazier I, PHD

  • Clinical Neuropsychologist
  • Lancaster, PA
National Provider Identifier
1245212422
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS004670L Issued in PA
Practice address
600H Eden Rd
Lancaster, PA 17601-4205
Phone
(717) 397-1400
Fax
(717) 509-4066
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS004670L PA
Clinical Neuropsychologist 103G00000X PS004670L PA Primary

Addresses

Primary practice location

600H Eden Rd
Lancaster, PA 17601-4205

Mailing address

600H Eden Rd
Lancaster, PA 17601-4205
Phone (717) 397-1400

Other identifiers 1

IdentifierTypeStateIssuer
156587OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090206000402 PA Practitioner - Clinical Psychologist 1759356850 Reassigns benefits to 1 organization
Practice locations: Lancaster, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2501 Oregon Pike
Suite 108
Lancaster, PA 17601-4890
Phone (717) 925-7033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS004670LPAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
L L Mulhollem Counseling and Psychotherapy, LLC CurrentSince Sep 1, 2020 Accepting new patients
Behavioral Healthcare Consultants, P.C. PastSince Jan 1, 2009 Accepting new patients

Locations

751 E High St
Elizabethtown, PA 17022
Phone (717) 489-2901

751 E High St
Ofc
Elizabethtown, PA 17022
Phone (717) 489-2901

2501 Oregon Pike
Ste 108
Lancaster, PA 17601
Phone (717) 489-2901

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1245212422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600H EDEN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014205",
            "telephone_number": "717-397-1400",
            "fax_number": "717-509-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600H EDEN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014205",
            "telephone_number": "717-397-1400",
            "fax_number": "717-509-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS004670L",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS004670L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "156587",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.