Individual provider Active NPI

Laura Lynnette Frakey, PH.D.

  • Clinical Neuropsychologist
  • Pawtucket, RI
National Provider Identifier
1720260805
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS00999 Issued in RI
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

Updated by the provider on May 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000723403OtherRIMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090910000158 RI Practitioner - Clinical Psychologist 0143398776 Reassigns benefits to 1 organization

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
East Bay Neurology Professional CorporationGroup PAC ID 3678671492, 2 clinicians

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

LicenseStateTypeSpecialty
PS00999RIMDClinical Neuropsychologist
8791MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Neurology Professional Corporation Clinical Neuropsychologist CurrentSince Jan 1, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.