Russell T Fry I, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3861 Issued in MA

Practice address

363 Court Street
Suite 1
Plymouth, MA 02360

Phone

(508) 746-8004

Fax

(508) 746-8099

NPI assigned

Sep 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cove Counseling, PC

  • Clinical Psychologist
  • Plymouth, MA
  • NPI 1972788545
  NPD (past)
• Cove Counselling Associates

  • Psychologist
  • Plymouth, MA
  • NPI 1316041650
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1457455792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 COURT STREET",
            "address_2": "SUITE 1",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "508-746-8004",
            "fax_number": "508-746-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 COURT STREET",
            "address_2": "SUITE 1",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "508-746-8004",
            "fax_number": "508-746-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "RUSSELL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "3861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Fricke-Crossman, LICSW
• Christine Elizabeth Brigid Fritsch, BSW, MSW
• Melissa Froio
• Frontrunnermd, Inc.
• Lindsey Rachel Frost, OTR/L
• FSJ & PN World Visions Inc (Cozy Corner Adult Day Health)
• Funtional Medicine Group Inc
• Latashia Furtado
• Fusion Behavioral Health & Fitness LLC
• Anne-Sophie J Gadenne, MD

• Psychologist in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.