Active NPI
Jason R Frye, PHD
- Psychologist
- Tracy, CA
National Provider Identifier
1427676840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 35 E 10TH St Ste E3
Tracy, CA 95376-4066 - Phone
- (209) 325-8486
- NPI assigned
- Jul 13, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 94025433 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 94025433 | CA | |
| Clinical Psychologist | 103TC0700X | 94025433 | CA | |
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
35 E 10TH St Ste E3
Tracy, CA 95376-4066
Mailing address
35 E 10TH St Ste E3
Tracy, CA 95376-4066
Phone (209) 431-9771
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jason.frye@mypsychcenter.com | Direct |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94025433 | CA | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| An Elegant Sufficiency, a Psychological Corporation | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Stockton, CA
- NPI 1427655810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1427676840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 E 10TH ST STE E3",
"city": "TRACY",
"state": "CA",
"postal_code": "953764066",
"telephone_number": "209-431-9771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 E 10TH ST STE E3",
"city": "TRACY",
"state": "CA",
"postal_code": "953764066",
"telephone_number": "209-325-8486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYE",
"first_name": "JASON",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-13",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "94025433",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "94025433",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "94025433",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jason.frye@mypsychcenter.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "35 E 10th St Ste E3",
"city": "Tracy",
"state": "CA",
"country_code": "US",
"postal_code": "953764066",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.