Robert D. Fritzen, ED.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301001619 Issued in MI

Practice address

12809 S Saginaw St
Suite 114
Grand Blanc, MI 48439-2416

Phone

(810) 695-1588

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1396710232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12809 S SAGINAW ST",
            "address_2": "SUITE 114",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392416",
            "telephone_number": "810-695-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12809 S SAGINAW ST",
            "address_2": "SUITE 114",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392416",
            "telephone_number": "810-695-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZEN",
        "first_name": "ROBERT",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301001619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "680B545140",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MI",
            "identifier": "620B545140",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Freeman, LMFT
• Elvin Frempong-Manso
• Corrina Kay Fridline, D.C.
• Kelly Friedland, MSW
• Julianna Friesen, D.O.
• Christina Marie Frost
• Stacy Ann Frye, M.D.
• Abby Ann Gabler, FNP-C
• Andrew Joseph Gagne, LMSW
• Christina Gainer, DPT

• Clinical Psychologist in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.