Active NPI
Frank Alexander Kraetz, PSYD
- Clinical Psychologist
- Bellflower, CA
National Provider Identifier
1366787764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSYCHOLOGICAL ASSIST
- Practice address
- 17800 Woodruff Ave Ste F
Bellflower, CA 90706-7080 - Phone
- (562) 866-8956
- NPI assigned
- Dec 11, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSYCHOLOGICAL ASSIST | CA | Primary |
Addresses
Primary practice location
17800 Woodruff Ave Ste F
Bellflower, CA 90706-7080
Mailing address
17800 Woodruff Ave Ste F
Bellflower, CA 90706-7080
Phone (562) 866-8956
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYCHOLOGICAL ASSIST | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1366787764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17800 WOODRUFF AVE STE F",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907067080",
"telephone_number": "562-866-8956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17800 WOODRUFF AVE STE F",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907067080",
"telephone_number": "562-866-8956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAETZ",
"first_name": "FRANK",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-11",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSYCHOLOGICAL ASSIST",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.