Active NPI
Emily Frank, EDD
- Psychologist
- West Roxbury, MA
National Provider Identifier
1316436397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5076
- Practice address
- 29 Shaw St
West Roxbury, MA 02132-3522 - Phone
- (617) 333-9606
- NPI assigned
- May 6, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5076 | MA | Primary |
Addresses
Primary practice location
29 Shaw St
West Roxbury, MA 02132-3522
Mailing address
29 Shaw St
West Roxbury, MA 02132-3522
Phone (508) 333-0939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 31, 2021 through Dec 31, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5076 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1316436397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 SHAW ST",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021323522",
"telephone_number": "508-333-0939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 SHAW ST",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021323522",
"telephone_number": "617-333-9606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANK",
"first_name": "EMILY",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-06",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "5076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.