Kayla Frodsham

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

SE-203754 Issued in ID

Practice address

3753 N North St Apt H-302
Boise, ID 83703-6523

Phone

(208) 890-6917

NPI assigned

Jan 14, 2016

Sex

Female

Sole proprietor

No

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.

• Northwest Neurobehavioral Health, LLC

  • Clinical Social Worker
  • Meridian, ID
  • NPI 1013223445

  Clinical, ID

  Medicare reassignment NPD
• Northwest Neurobehavioral Health PLLC

  • Clinical Psychologist
  • Boise, ID
  • NPI 1518102797

  Clinical

  NPD (past)
• True North Academy, LLC

  • Foster Care Agency
  • Provo, UT
  • NPI 1922421080
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in ID

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

• Kayla Alder Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2023.

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1679939052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3753 N NORTH ST # H-302",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036523",
            "telephone_number": "208-890-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3753 N NORTH ST APT H-302",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036523",
            "telephone_number": "208-890-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRODSHAM",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "SE-203754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "ALDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Frisch, MASSAGE THERAPIST
• Lyndsey Fritz, PA-C
• Sharon Fritz, DR.
• Theresa Fritz
• Roy Tyler Frizzell, MD
• Travis Frogley, FNP-C
• Jason P Fronk, O.D.
• Front Line EMS LLC
• Frontier Management, LLC
• Jamie Frost, LCSW

• All providers in Boise, ID
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.