Active NPI
Laura Lynnette Frakey, PH.D.
- Clinical Neuropsychologist
- Pawtucket, RI
National Provider Identifier
1720260805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PS00999
- Practice address
- 111 Brewster Street
Pawtucket, RI 02860-4400 - Phone
- (401) 729-2326
- Fax
- (401) 729-2243
- NPI assigned
- Nov 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 8791 | MA | |
| Clinical Neuropsychologist | 103G00000X | PS00999 | RI | Primary |
Addresses
Primary practice location
111 Brewster Street
Pawtucket, RI 02860-4400
Mailing address
111 Brewster Street
Wood BLDG #516
Pawtucket, RI 02860-4400
Phone (401) 729-3481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000723403 | Other | RI | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Florida College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 School St
Suite 216
Pawtucket, RI 02860-5336
Phone (401) 722-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS00999 | RI | MD | Clinical Neuropsychologist |
| 8791 | MA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Bay Neurology Professional Corporation | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
333 School St
Ste 216
Pawtucket, RI 02860
Phone (401) 722-7300
37 Thurber Blvd
Ste 105
Smithfield, RI 02917
Interoperability endpoints
- laura.frakey@eastbayneuro.directbygreenway.com
Organizations & group practices 1
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.
-
- Neurology Physician
- Pawtucket, RI
- NPI 1275668006
Clinical Neuropsychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275004800000",
"number": "1720260805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BREWSTER STREET",
"address_2": "WOOD BLDG #516",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604400",
"telephone_number": "401-729-3481",
"fax_number": "401-729-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BREWSTER STREET",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604400",
"telephone_number": "401-729-2326",
"fax_number": "401-729-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAKEY",
"first_name": "LAURA",
"middle_name": "LYNNETTE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-30",
"last_updated": "2010-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "8791",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "RI",
"license": "PS00999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "000723403",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.