Hannah E Fraley, PHD, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP95034067 Issued in CA

Practice address

23283 Canyon Lake Dr S
Canyon Lake, CA 92587-7598

Phone

(951) 387-0782

Fax

(951) 639-6087

NPI assigned

Jan 7, 2014

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Blooming Integrative Psychiatry

  • Psychiatry Physician
  • Canyon Lake, CA
  • NPI 1417812587
  NPD Authorized official

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760745600000",
    "number": "1285056416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31566 RAILROAD CANYON RD STE 2",
            "address_2": "PMB 191",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925879446",
            "telephone_number": "951-387-0782",
            "fax_number": "951-639-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23283 CANYON LAKE DR S",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925877598",
            "telephone_number": "951-387-0782",
            "fax_number": "951-639-6087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3151 Soaring Gulls Dr Unit 1023",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891287022",
            "country_code": "US",
            "telephone_number": "951-387-0782",
            "fax_number": "951-639-6087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRALEY",
        "first_name": "HANNAH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95034067",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "NP865391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lucinda Demoss, OD
• Alex Denes, MD
• Heather Depriest
• William W Everly Jr., CARE PROVIDER
• Tavia I Fontenot
• Taylor Christy Frasca
• Frozen in Time Cryo Therapy Center
• Ashlyn Gayk
• Destanie Geiger
• Haylie Gutierrez

• Psychiatric/Mental Health Nurse Practitioner in Canyon Lake, CA
• Providers in Canyon Lake, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.