Active NPI
Katherine B. Frantz, M.D.
- Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1710972161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD034244E
- Practice address
- 4641 Roosevelt Blvd
Philadelphia, PA 19124-2343 - Phone
- (215) 831-4886
- Fax
- (215) 831-4818
- NPI assigned
- Sep 13, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD034244E | PA | Primary |
Addresses
Primary practice location
4641 Roosevelt Blvd
Philadelphia, PA 19124-2343
Mailing address
4641 Roosevelt Blvd
Philadelphia, PA 19124-2343
Phone (215) 831-4886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2449908000 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101220000845 | PA | Practitioner - Psychiatry | 3072701911 | Practice locations: Haverford, PA; Wayne, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1710972161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4641 ROOSEVELT BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191242343",
"telephone_number": "215-831-4886",
"fax_number": "215-831-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4641 ROOSEVELT BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191242343",
"telephone_number": "215-831-4886",
"fax_number": "215-831-4818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANTZ",
"first_name": "KATHERINE",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD034244E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "2449908000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.