Individual provider Active NPI

Mario J. Frabizzio Jr., PH.D.

  • Clinical Psychologist
  • Wilmington, DE
National Provider Identifier
1801123443
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
B1-0000601 Issued in DE
Practice address
3411 Silverside Rd
Concord Plaza 206 Baynard BLDG
Wilmington, DE 19810-4812
Phone
(302) 479-5151
Fax
(302) 654-9720
NPI assigned
Nov 3, 2009
Last updated
Nov 3, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X B1-0000601 DE Primary
Clinical Psychologist 103TC0700X PS003665L PA

Addresses

Primary practice location

3411 Silverside Rd
Concord Plaza 206 Baynard BLDG
Wilmington, DE 19810-4812

Mailing address

128 Fairfax Blvd
Wilmington, DE 19803-3025
Phone (302) 654-9720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS003665LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mario J Frabizzio Jr, PHD Licensed Psychologist CurrentSince Nov 1, 1999 Accepting new patients

Locations

3411 Silverside Rd
#202
Wilmington, DE 19810

3411 Silverside Rd
#206
Wilmington, DE 19810
Phone (302) 479-5151

3411 Silverside Rd
Ste 206
Wilmington, DE 19810
Phone (302) 479-5151

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": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1801123443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 FAIRFAX BLVD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033025",
            "telephone_number": "302-654-9720",
            "fax_number": "302-654-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 SILVERSIDE RD",
            "address_2": "CONCORD PLAZA 206 BAYNARD BLDG",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104812",
            "telephone_number": "302-479-5151",
            "fax_number": "302-654-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRABIZZIO",
        "first_name": "MARIO",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-0000601",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003665L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.