Active NPI
James Keith Frainey, PSYD
- Clinical Psychologist
- Rock Island, IL
National Provider Identifier
1538520903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071005778
- Practice address
- 805 19TH Street
Transitions MHS
Rock Island, IL 61201 - Phone
- (309) 283-1201
- NPI assigned
- Mar 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071005778 | IL | Primary |
Addresses
Primary practice location
805 19TH Street
Transitions MHS
Rock Island, IL 61201
Mailing address
2525 13TH St
Moline, IL 61265-4717
Phone (309) 230-2940
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071005778 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457913600000",
"number": "1538520903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 13TH ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612654717",
"telephone_number": "309-230-2940",
"fax_number": "309-794-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 19TH STREET",
"address_2": "TRANSITIONS MHS",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "61201",
"telephone_number": "309-283-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAINEY",
"first_name": "JAMES",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-14",
"last_updated": "2016-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071005778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.