Individual provider Active NPI

Mitch Fryling, PH.D.

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1811441884
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
828 N Hudson Ave
Los Angeles, CA 90038-3676
Phone
(323) 457-0184
NPI assigned
Aug 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X CA Primary

Addresses

Primary practice location

828 N Hudson Ave
Los Angeles, CA 90038-3676

Mailing address

828 N Hudson Ave
Los Angeles, CA 90038-3676
Phone (323) 457-0184

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mitch@mitchpsychology.com
Direct Messaging Address mitch@mitchpsychology.com
Direct Messaging Address Mitch@mitchpsychology.com

Medicare participation

Medicare enrollment files
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33165CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1811441884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 N HUDSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383676",
            "telephone_number": "323-457-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 N HUDSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383676",
            "telephone_number": "323-457-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYLING",
        "first_name": "MITCH",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mitch@mitchpsychology.com",
            "affiliation": "N",
            "address_1": "828 N Hudson Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900383676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mitch@mitchpsychology.com",
            "affiliation": "N",
            "address_1": "828 N Hudson Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900383676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mitch@mitchpsychology.com",
            "affiliation": "N",
            "address_1": "828 N Hudson Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900383676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.