Organization Active NPI

Dr. Eric Frey, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
National Provider Identifier
1467647891
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
31405 Issued in TX
Legal business name
DR. ERIC FREY, PC
Practice address
6012 W William Cannon Dr
Suite B103
Austin, TX 78749-1980
Phone
(512) 358-9700
Fax
(512) 687-5377
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Eric Dean Frey, PH.D.
Title
Psychologist
Phone
(512) 358-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 31405 TX Primary

Addresses

Primary practice location

6012 W William Cannon Dr
Suite B103
Austin, TX 78749-1980

Mailing address

6012 W William Cannon Dr
Suite B103
Austin, TX 78749-1980
Phone (512) 358-9700

Other identifiers 1

IdentifierTypeStateIssuer
0025PSOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1467647891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 W WILLIAM CANNON DR",
            "address_2": "SUITE B103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491980",
            "telephone_number": "512-358-9700",
            "fax_number": "512-687-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 W WILLIAM CANNON DR",
            "address_2": "SUITE B103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491980",
            "telephone_number": "512-358-9700",
            "fax_number": "512-687-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ERIC FREY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "512-358-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "31405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0025PS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.