Active NPI
Sandra Frucht
- Psychologist
- Walnut Creek, CA
National Provider Identifier
1386820116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY15473
- Practice address
- 925 Ygnacio Valley Rd
Ste 102a
Walnut Creek, CA 94596-3818 - Phone
- (510) 273-9315
- NPI assigned
- Jan 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY15473 | CA | Primary |
Addresses
Primary practice location
925 Ygnacio Valley Rd
Ste 102a
Walnut Creek, CA 94596-3818
Mailing address
3494 Springhill CT
Lafayette, CA 94549-2333
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15473 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PSY15473 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1386820116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3494 SPRINGHILL CT",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945492333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 YGNACIO VALLEY RD",
"address_2": "STE 102A",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945963818",
"telephone_number": "510-273-9315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUCHT",
"first_name": "SANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-10",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY15473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.