Mary Gail Frawley-O'Dea, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3247 Issued in NC

Practice address

9930 Monroe Rd
Suite 130
Matthews, NC 28105-5344

Phone

(704) 814-9352

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Presbyterian Samaritan Counseling CenterGroup PAC ID 2264971779, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Presbyterian Samaritan Counseling Center

  dba Presbyterian Psychological Services

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1871679464
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558433110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 CADAGON CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282700006",
            "telephone_number": "704-814-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 MONROE RD",
            "address_2": "SUITE 130",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055344",
            "telephone_number": "704-814-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAWLEY-O'DEA",
        "first_name": "MARY GAIL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Dillard Fowler, FNP-C
• Fox Rehab OT NC LLC
• Fox Rehab PT NC LLC
• Fox Rehab SLP NC PLLC
• Gina Francescangeli, OTR/L
• Allona Jarie Frazier, NP
• Alexandra Elizabeth Fredericksen
• Freely Fed
• Amie Freeman
• Hannah Freeman, CCC-SLP

• Clinical Psychologist in Matthews, NC
• Providers in Matthews, NC by specialty
• Clinical Psychologist in North Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.