Rebecca R Fraenkel, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6853 Issued in MN

Practice address

1310 Highway 96 E
Suite 200
White Bear Lake, MN 55110-3624

Phone

(651) 426-3071

Fax

(651) 426-3095

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1659477495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 HIGHWAY 96 E",
            "address_2": "SUITE 200",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103624",
            "telephone_number": "651-426-3071",
            "fax_number": "651-426-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HIGHWAY 96 E",
            "address_2": "SUITE 200",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103624",
            "telephone_number": "651-426-3071",
            "fax_number": "651-426-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAENKEL",
        "first_name": "REBECCA",
        "middle_name": "R",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "6853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.