Individual provider Active NPI

Jessica Fritzges, PH.D.

  • Clinical Psychologist
  • Smyrna, DE
National Provider Identifier
1730634452
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
B1-0001166 Issued in DE
Practice address
110 S Delaware St
Smyrna, DE 19977-1447
Phone
(302) 632-2204
Fax
(302) 202-5399
NPI assigned
Aug 23, 2016
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X B1-0001166 DE Primary

Addresses

Primary practice location

110 S Delaware St
Smyrna, DE 19977-1447

Mailing address

110 S Delaware St
Smyrna, DE 19977-1447
Phone (302) 632-2204

Other identifiers 1

IdentifierTypeStateIssuer
250607302MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20161115001568 DE Practitioner - Clinical Psychologist 7315226305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1730634452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S DELAWARE ST",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771447",
            "telephone_number": "302-632-2204",
            "fax_number": "302-202-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S DELAWARE ST",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771447",
            "telephone_number": "302-632-2204",
            "fax_number": "302-202-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZGES",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-0001166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250607302",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

Verify at the official NPI Registry.