Jacqueline Fritts, PSYD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301019339 Issued in MI

Practice address

6044 W Beard Rd
Perry, MI 48872-8156

Phone

(210) 287-0622

NPI assigned

Dec 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jacqueline Christie Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Fritts Consulting Services, LLC

  • Adult Mental Health Clinic/Center
  • Perry, MI
  • NPI 1336945922
  NPD
• Ismail B. Sendi, MD PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southgate, MI
  • NPI 1134595630
  NPD (past)

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1497299309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6044 W BEARD RD",
            "city": "PERRY",
            "state": "MI",
            "postal_code": "488728156",
            "telephone_number": "210-287-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 W BEARD RD",
            "city": "PERRY",
            "state": "MI",
            "postal_code": "488728156",
            "telephone_number": "210-287-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITTS",
        "first_name": "JACQUELINE",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301019339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "CHRISTIE",
            "credential": "PSYD, LP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Compassion Counseling Services, LLC.
• Lindsay Crim, RPH
• Jessica Ann Demey, PHARM.D.
• Eyecare Associates of Haslett, PC
• Fritts Consulting Services, LLC
• Carrie Gregg
• Andrew Huguelet, LMSW
• James G Morgan DO PC
• Jane W Maisch DDS PLC
• Rebecca Joseph

• Clinical Psychologist in Perry, MI
• Providers in Perry, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.