Active NPI
Maria I. Frailey, PH.D.
- Psychologist
- La Mesa, CA
National Provider Identifier
1346314044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY16395
- Practice address
- 8355 La Mesa Blvd
La Mesa, CA 91942-9249 - Phone
- (619) 840-3009
- NPI assigned
- Nov 17, 2006
- 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 | PSY16395 | CA | Primary |
Addresses
Primary practice location
8355 La Mesa Blvd
La Mesa, CA 91942-9249
Mailing address
8355 La Mesa Blvd
La Mesa, CA 91942-9249
Phone (619) 840-3009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6214534 | Medicaid | CA |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY16395 | CA | MD | Psychologist |
| 16395 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1346314044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8355 LA MESA BLVD",
"city": "LA MESA",
"state": "CA",
"postal_code": "919429249",
"telephone_number": "619-840-3009",
"fax_number": "619-697-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8355 LA MESA BLVD",
"city": "LA MESA",
"state": "CA",
"postal_code": "919429249",
"telephone_number": "619-840-3009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAILEY",
"first_name": "MARIA",
"middle_name": "I.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY16395",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6214534",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.