Rebecca Anne Frederick

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

License

PS01388 Issued in RI

Practice address

2639 S County TRL
East Greenwich, RI 02818-1727

Phone

(401) 214-8558

Fax

(401) 214-3047

NPI assigned

Sep 25, 2008

Last updated

Nov 3, 2022By 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

Other names 1

• Ms. Rebecca Anne Grant Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Frederick Psychological Services, LLC

  • Clinical Psychologist
  • East Greenwich, RI
  • NPI 1073094181
  Authorized official Same address or phone
• Neuroperformance of Rhode Island, LLC

  • Clinical Neuropsychologist
  • N Providence, RI
  • NPI 1740810548
  NPD

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1558511600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181727",
            "telephone_number": "401-214-8558",
            "fax_number": "401-214-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181727",
            "telephone_number": "401-214-8558",
            "fax_number": "401-214-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "RI",
            "license": "PS01388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rfrederick@fpsri.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2639 S County Trl",
            "city": "East Greenwich",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028181727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "GRANT",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Annette Forte, LICSW
• Kelsie Nichelle Foster, PH.D CRC
• Tracey Lee Foster, DPT
• Jacob Francis, FNP-C
• Frederick Psychological Services, LLC
• Patrice Mary French, RNP
• David Fried, MD
• Lauri K. Friedman, PT
• Frye Family Chiropractic
• Kelly Ann Frye, D.C.

• Group Psychotherapy Psychologist in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Group Psychotherapy Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.