Active NPI
Christopher A Frazer, PSY.D.
- Clinical Psychologist
- Dartmouth, MA
National Provider Identifier
1285611145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10218
- Practice address
- 285 Old Westport Rd
Umass Dartmouth Counseling Center
Dartmouth, MA 02747-2356 - Phone
- (508) 999-8650
- Fax
- (508) 999-9192
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5820 | MA | |
| Clinical Psychologist | 103TC0700X | 10218 | MA | Primary |
Addresses
Primary practice location
285 Old Westport Rd
Umass Dartmouth Counseling Center
Dartmouth, MA 02747-2356
Mailing address
285 Old Westport Rd.
Umass Dartmouth Counseling Center
Dartmouth, MA 02747-2356
Phone (508) 999-8650
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5820 | Other | MA | LMHC |
| 10218 | Other | MA | PSYCHOLOGY LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5820 | MA | MD | Mental Health Counselor |
| 10218 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Massachusetts | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444348800000",
"number": "1285611145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 OLD WESTPORT RD.",
"address_2": "UMASS DARTMOUTH COUNSELING CENTER",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027472356",
"telephone_number": "508-999-8650",
"fax_number": "508-999-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 OLD WESTPORT RD",
"address_2": "UMASS DARTMOUTH COUNSELING CENTER",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027472356",
"telephone_number": "508-999-8650",
"fax_number": "508-999-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZER",
"first_name": "CHRISTOPHER",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2015-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "5820",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMHC",
"identifier": "5820",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LICENSE",
"identifier": "10218",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.