Jennifer A. Fray, PSY.D., HSPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20041632A Issued in IN

Practice address

1700 E 38TH St
Marion, IN 46953-4568

Phone

(765) 674-3321

NPI assigned

Oct 25, 2005

Last updated

Mar 20, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1679563209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 FOREST GROVE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353709",
            "telephone_number": "260-485-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E 38TH ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469534568",
            "telephone_number": "765-674-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAY",
        "first_name": "JENNIFER",
        "middle_name": "A.",
        "credential": "PSY.D., HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041632A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200371000",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R. Nathaniel Foster, PHD, ATC, LAT
• Andrew Fowler
• Stacy Lynn Fox
• Marlee Francois, RBT
• Christine Fravel, RBT
• Tristan Frazier
• Lydia Frecker
• Melvin L. Frecker, O.D.
• Fresenius Medical Care Fort Wayne, LLC (Fresenius Medical Care Grant County)
• Gary A Frick, DO

• Clinical Psychologist in Marion, IN
• Providers in Marion, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.