Individual provider Active NPI

Ralph Joseph Fretz, PH.D.

  • Forensic Psychologist
  • Manasquan, NJ
National Provider Identifier
1629191390
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
3846 Issued in NJ
Practice address
2517 Highway 35
Building G, Suite 103
Manasquan, NJ 08736-1918
Phone
(973) 390-2151
Fax
(732) 528-0040
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X 3846 NJ Primary

Addresses

Primary practice location

2517 Highway 35
Building G, Suite 103
Manasquan, NJ 08736-1918

Mailing address

2517 Highway 35
Building G, Suite 103
Manasquan, NJ 08736-1918
Phone (973) 390-2151

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3846NJMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark White, PH.D., P.a. PastSince Apr 4, 1995 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1629191390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 HIGHWAY 35",
            "address_2": "BUILDING G, SUITE 103",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361918",
            "telephone_number": "973-390-2151",
            "fax_number": "732-528-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 HIGHWAY 35",
            "address_2": "BUILDING G, SUITE 103",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361918",
            "telephone_number": "973-390-2151",
            "fax_number": "732-528-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRETZ",
        "first_name": "RALPH",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NJ",
            "license": "3846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.