Douglas G. Frey, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 2224 Issued in MN

Practice address

15798 Venture LN
Eden Prairie, MN 55344-5729

Phone

(952) 920-2789

Fax

(952) 975-0616

NPI assigned

Jan 31, 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Jonas Center, Inc.Group PAC ID 5890888556, 8 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 and National Provider Directory roles.

• The Jonas Center, Inc.

  • Clinical Social Worker
  • Cologne, MN
  • NPI 1396837415
  Medicare reassignment Care Compare group NPD
• Psychological Healthcare of Minnesota PA

  • Psychologist
  • Eden Prairie, MN
  • NPI 1821241340
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649317413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15798 VENTURE LANE",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553444116",
            "telephone_number": "952-920-2789",
            "fax_number": "952-975-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15798 VENTURE LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445729",
            "telephone_number": "952-920-2789",
            "fax_number": "952-975-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "DOUGLAS",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 2224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE - BHP",
            "identifier": "109306",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MN",
            "identifier": "41B22PS",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Frazey, PHARMD
• Briana Jo Freeberg, MA, LMFT
• Timothy Kimble Freeman, MHP
• Kristine Lynn Felsman Freiling, PA-C
• Shanna Lee Frenzen, M.A.
• Michael Peter Froehle
• Kelli Gaber
• Saritha Gajawada
• Gallagher Cosmetic &Family Dentistry, PA
• Michael J Gallagher, DDS

• Clinical Psychologist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Clinical Psychologist in Minnesota

• 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.