Samuel Eric Fraser, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC23931 Issued in CA

Practice address

7136 Haskell Ave
Suite 201
Van Nuys, CA 91406-4112

Phone

(626) 644-4746

Fax

(818) 888-7850

NPI assigned

Jun 8, 2008

Sex

Male

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

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212883200000",
    "number": "1356500920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7136 HASKELL AVE",
            "address_2": "SUITE 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064112",
            "telephone_number": "626-644-4746",
            "fax_number": "818-888-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 HASKELL AVE",
            "address_2": "SUITE 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064112",
            "telephone_number": "626-644-4746",
            "fax_number": "818-888-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "SAMUEL",
        "middle_name": "ERIC",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-08",
        "last_updated": "2008-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "MFC23931",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC23931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annalie Sabrina Franco, LCSW
• Annalyss Franco
• Elma Franco
• Rolando Vergara Franco, D.M.D.
• Emeral Remora Franklin
• Leticia Frayre, AMFT
• Fred Smith-Histo-Cyto Slide Prep Lab
• Erika Freddie
• Freedom Home Health Care
• Cynthia Diane Freeman-Thompson, MA, MS, MFTI

• Mental Health Counselor in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2008; 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.