Individual provider Active NPI

Fred A Chovan, M.ED.

  • Psychologist
  • Erie, PA
National Provider Identifier
1346462280
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-003265-L Issued in PA
Practice address
136 East Ave
Erie, PA 16507-1842
Phone
(814) 453-7661
Fax
(814) 455-1132
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS-003265-L PA Primary

Addresses

Primary practice location

136 East Ave
Erie, PA 16507-1842

Mailing address

136 East Ave
Erie, PA 16507-1842
Phone (814) 453-7661

Other identifiers 1

IdentifierTypeStateIssuer
001880799 0001MedicaidPA

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)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
PS-003265-LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Gertrude a Barber Center Inc Psychologist PastSince Jul 1, 2004 Accepting new patients
Dr Gertrude a Barber in Home Services Inc Past Accepting new patients
Christine Barr PastSince Sep 28, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/barberinstitute/r4/

Organizations & group practices 3

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1346462280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 EAST AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071842",
            "telephone_number": "814-453-7661",
            "fax_number": "814-455-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 EAST AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071842",
            "telephone_number": "814-453-7661",
            "fax_number": "814-455-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOVAN",
        "first_name": "FRED",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-003265-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001880799 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.