Chris Angelo Fragiskatos, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

34336 Issued in CA

Practice address

3435 Camino del Rio S
Suite 336
San Diego, CA 92108-3902

Phone

(619) 990-4787

Fax

(619) 391-8736

NPI assigned

Feb 1, 2007

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)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1558409714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 CAMINO DEL RIO S",
            "address_2": "SUITE 336",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083902",
            "telephone_number": "619-990-4787",
            "fax_number": "619-391-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 CAMINO DEL RIO S",
            "address_2": "SUITE 336",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083902",
            "telephone_number": "619-990-4787",
            "fax_number": "619-391-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGISKATOS",
        "first_name": "CHRIS",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "34336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.