Jessica Fraser, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

06240 Issued in MD

Practice address

816 Queens Park Dr
Owings Mills, MD 21117-2250

Phone

(443) 632-4378

NPI assigned

Mar 3, 2021

Last updated

Mar 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1770178527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 QUEENS PARK DR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172250",
            "telephone_number": "443-632-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 QUEENS PARK DR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172250",
            "telephone_number": "443-632-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "06240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collin Alexander Francis, M.S., A.T.C., LAT
• Frank Gunzburg, PH.D., P.,a.
• Tamar Frank
• Richard Philip Franklin, M.D.
• Mildred Lee Franze, LCSW-C
• Zachary Emil Frates, PA-C
• Alyssa Frederick
• Free Expressions, LLC
• Michael David Freedman I, M.D.,F.A.C.P.,F.C.P.
• Freshair Health Services LLC

• Psychologist in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.