Active NPI
Brenda Frechette, PHD
- Psychologist
- Vacaville, CA
National Provider Identifier
1629082706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 21930
- Practice address
- 292 Alamo Dr
Suite 3
Vacaville, CA 95688-4243 - Phone
- (707) 438-5808
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 21930 | CA | Primary |
Addresses
Primary practice location
292 Alamo Dr
Suite 3
Vacaville, CA 95688-4243
Mailing address
292 Alamo Dr
Suite 3
Vacaville, CA 95688-4243
Phone (707) 438-5808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039390 | Other | CA | MFT LICENSURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141201001433 | CA | Practitioner - Clinical Psychologist | 1153643200 | Practice locations: Novato, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2515 Laguna Vista Dr
Novato, CA 94945-1562
Phone (415) 279-9639
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 21930 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415664000000",
"number": "1629082706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 ALAMO DR",
"address_2": "SUITE 3",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884243",
"telephone_number": "707-438-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 ALAMO DR",
"address_2": "SUITE 3",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884243",
"telephone_number": "707-438-5808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRECHETTE",
"first_name": "BRENDA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2014-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 21930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MFT LICENSURE",
"identifier": "039390",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.