Fruge' Psychological Associates, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY18275 Issued in CA

Legal business name

FRUGE' PSYCHOLOGICAL ASSOCIATES, INC.

Practice address

1300 Clay St Ste 600
Oakland, CA 94612-1427

Phone

(510) 759-4405

NPI assigned

Apr 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Lee Fruge', PSY.D., QME

Title

Chief Executive Officer

Phone

(510) 759-4405

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1447679576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CLAY ST STE 600",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121427",
            "telephone_number": "510-759-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CLAY ST STE 600",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121427",
            "telephone_number": "510-759-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUGE' PSYCHOLOGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "FRUGE'",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "510-759-4405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., QME"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.