Charles Glenn Fritz, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 25922 Issued in CA

Practice address

459 Fulton Street Suite 102
San Francisco, CA 94102-4318

Phone

(415) 498-0205

NPI assigned

Jul 24, 2007

Last updated

Jan 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1487854626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 FULTON ST STE 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024364",
            "telephone_number": "415-498-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 FULTON STREET SUITE 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024318",
            "telephone_number": "415-498-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "CHARLES",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 25922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristyn Frisk, FNP-C
• Mavis Frith, RN
• Meredith Fritsch, PT
• Garretson Vanburen Fritts, D.C.
• Anthony W Fritz, M.D.
• FRN Outpatient San Francisco
• FRN San Francisco, LLC (FRN Outpatient San Francisco)
• Cecilia Froberg
• Tandra Froehlich Childress, MA, ATR, LMFT
• Mary L Froehlich, GNP

• Clinical Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.