Individual provider Active NPI

Fred Charles Frey, PH.D.

  • Clinical Psychologist
  • Baton Rouge, LA
National Provider Identifier
1497716732
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
966 Issued in LA
Practice address
7656 Jefferson Hwy
Suite: 1a
Baton Rouge, LA 70809-1101
Phone
(225) 927-2455
Fax
(225) 927-7921
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 966 LA Primary

Addresses

Primary practice location

7656 Jefferson Hwy
Suite: 1a
Baton Rouge, LA 70809-1101

Mailing address

7656 Jefferson Hwy
Suite: 1a
Baton Rouge, LA 70809-1101
Phone (225) 927-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
966LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fcfiv, LLC Clinical Current Accepting new patients
F. Charles Frey, IV, PH.D., L.L.C. Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497716732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7656 JEFFERSON HWY",
            "address_2": "SUITE: 1A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091101",
            "telephone_number": "225-927-2455",
            "fax_number": "225-927-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7656 JEFFERSON HWY",
            "address_2": "SUITE: 1A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091101",
            "telephone_number": "225-927-2455",
            "fax_number": "225-927-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "FRED",
        "middle_name": "CHARLES",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.