Individual provider Active NPI

Joan Marie Frye, PHD

  • Clinical Psychologist
  • Rochester, MN
National Provider Identifier
1467847897
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3208 Issued in TN
Practice address
128 Avalon Cove Cir NW
Rochester, MN 55901-8495
Phone
(615) 330-4507
Fax
(844) 593-1507
NPI assigned
Apr 2, 2015
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3208 TN Primary

Addresses

Primary practice location

128 Avalon Cove Cir NW
Rochester, MN 55901-8495

Mailing address

128 Avalon Cove Cir NW
Rochester, MN 55901-8495
Phone (615) 330-4507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150629003087 TN Practitioner - Clinical Psychologist 2567774888 Reassigns benefits to 1 organization
I20230912003340 MN Practitioner - Clinical Psychologist 2567774888 Practice locations: Rochester, MN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1134 Dow St
Murfreesboro, TN 37130-2486

2342 N Tennessee Blvd
Unit 104
Murfreesboro, TN 37130-4518
Phone (615) 330-4507

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joan M Frye, PHD CurrentSince May 25, 2019 Accepting new patients
Philip Bradley Anderson Past Accepting new patients
Tennessee TMS Center, PLLC PastSince Jul 4, 2018 Accepting new patients

Locations

1134 Dow St
Murfreesboro, TN 37130
Phone (615) 624-4494

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1467847897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 AVALON COVE CIR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018495",
            "telephone_number": "615-330-4507",
            "fax_number": "844-593-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 AVALON COVE CIR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018495",
            "telephone_number": "615-330-4507",
            "fax_number": "844-593-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.