NPIMap

Individual provider Active NPI

Robert Brock Frost, PH.D.

  • Prescribing (Medical) Psychologist
  • Albuquerque, NM
National Provider Identifier
1437550415
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
PSY-RXC0081 Issued in NM
Practice address
3400 Constitution Ave NE
Suite C
Albuquerque, NM 87106-1242
Phone
(801) 589-0043
NPI assigned
Sep 10, 2014
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY1341 NM
Clinical Neuropsychologist 103G00000X 1341 NM
Prescribing (Medical) Psychologist 103TP0016X PSY-RXC0081 NM Primary

Addresses

Primary practice location

3400 Constitution Ave NE
Suite C
Albuquerque, NM 87106-1242

Mailing address

3400 Constitution Ave NE
Suite C
Albuquerque, NM 87106-1242
Phone (801) 589-0043

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rfrost211782@direct.med.utah.edu Direct UNIVERSITY OF UTAH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, UT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150326000536 NM Practitioner - Clinical Psychologist 2668799982 Reassigns benefits to 2 organizations
I20161006000525 UT Practitioner - Clinical Psychologist 2668799982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuropsychological Services of New Mexico, LLCGroup PAC ID 3577564947, 3 clinicians
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

10110 Spain Rd NE
Albuquerque, NM 87111-1965
Phone (505) 404-9395

2025 Galisteo St
Suite a
Santa Fe, NM 87505-2101
Phone (505) 913-3450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY1341NMMDClinical Neuropsychologist
PSY-RXC0081NMMDPrescribing (Medical) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
St. Vincent Hospital Current Accepting new patients
St. Vincent Hospital CurrentSince Sep 14, 2020 Accepting new patients
University of Utah Adult Services CurrentSince Sep 9, 2016 Accepting new patients
Neuropsychological Services of New Mexico, LLC Clinical Neuropsychologist CurrentSince Mar 15, 2015 Accepting new patients
University of Utah Behavioral Health Services CurrentSince Sep 15, 2016 Accepting new patients
St Vincent Hospital Current Accepting new patients
University of Utah Adult Services CurrentSince Sep 9, 2016 Accepting new patients
University of Utah Behavioral Health Services CurrentSince Sep 15, 2016 Accepting new patients
University of Utah Behavioral Health Services Current Accepting new patients
St Vincent Hospital CurrentSince Sep 14, 2020 Accepting new patients
Albuquerque Mind Brain & Body Institute LLC Current Accepting new patients

Locations

10110 Spain Rd NE
Albuquerque, NM 87111
Phone (505) 294-5065

3400 Constitution Ave NE
Ste C
Albuquerque, NM 87106
Phone (505) 270-4242

2025 Galisteo St
Ste A
Santa Fe, NM 87505
Phone (505) 913-3450

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

5 Petroglyph Cir
Ste A
Santa Fe, NM 87506
Phone (505) 455-1962

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

240 Morris Ave
Ste 400
South Salt Lake, UT 84115
Phone (801) 581-5515

Interoperability endpoints

  • Direct secure messaging: rfrost211782@direct.med.utah.edu
  • Direct secure messaging: rfrost233028@christushealth.direct-ci.net

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1437550415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CONSTITUTION AVE NE",
            "address_2": "SUITE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061242",
            "telephone_number": "801-589-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CONSTITUTION AVE NE",
            "address_2": "SUITE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061242",
            "telephone_number": "801-589-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "ROBERT",
        "middle_name": "BROCK",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "PSY1341",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "1341",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "PSY-RXC0081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rfrost211782@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.