Mae Ennis Frawley

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP029645 Issued in PA

Practice address

940 W King Rd
Malvern, PA 19355-3166

Phone

(610) 647-0330

Fax

(610) 644-6129

NPI assigned

Apr 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Inpatient Consultants of Pennsylvania PC

  • Hospitalist Physician
  • Newtown Square, PA
  • NPI 1669880175
  NPD (past)
• Malvern Institute for Psychiatric and Alcoholic Studies, Inc.

  • Special Hospital
  • Malvern, PA
  • NPI 1922141167
  NPD (past)

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1366297319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W KING RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553166",
            "telephone_number": "610-647-0330",
            "fax_number": "610-644-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W KING RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553166",
            "telephone_number": "610-647-0330",
            "fax_number": "610-644-6129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 W South St",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187660997",
            "country_code": "US",
            "telephone_number": "570-408-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAWLEY",
        "first_name": "MAE",
        "middle_name": "ENNIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forall Urgentcare LLC
• Samantha Foreman, PSYD
• Fort Freedom, Inc.
• Brian Foster, RCEP
• Robert Frankel, M.D.
• Anna Pierce Frederick, MSSW, LCSW
• Robin B Frees, BA, CHT, IBCLC
• Tara Jeanne Fresh, OTR/L
• Gary H Friday, MD
• Sara Elizabeth Fried, PSY.D.

• Psychiatric/Mental Health Nurse Practitioner in Malvern, PA
• Providers in Malvern, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.