Andrew Frazer, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

3756 Issued in TN

Practice address

1111 N. Northshore Dr.
South Tower, Suite 490
Knoxville, TN 37919-2865

Phone

(865) 584-0171

NPI assigned

Oct 1, 2015

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• The Northshore Group, Inc.

  dba Northshore Group

  • Clinical Psychologist
  • Knoxville, TN
  • NPI 1790423366
  NPD

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1386014488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N. NORTHSHORE DR.",
            "address_2": "SOUTH TOWER, SUITE 490",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-584-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N. NORTHSHORE DR.",
            "address_2": "SOUTH TOWER, SUITE 490",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379192865",
            "telephone_number": "865-584-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZER",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-01",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3756",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TN",
            "license": "3756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Critha Onita Franse
• Kylie Fraser, BS
• Dana Chaney Frasier
• Carson J.P. Frasure
• Heidi Marie Frazee, M.S., CCC-SLP
• Kristin Lynn Frazer, M.S., C.G.C.
• Beth Michelle Frazier-Piper, MA, LMFT
• Claude Clinton Frazier III, D.O.
• Dorcas Yaa Frazier, BEHAVIOR TECHNICIAN
• Elisabeth K. Frazier, NP

• Clinical Child & Adolescent Psychologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Child & Adolescent Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.