Active NPI
Linda Rene Frazier, PSY.D.
- Clinical Psychologist
- Temecula, CA
National Provider Identifier
1831460468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY33134
- Practice address
- 28693 Old Town Front St Ste 300F
Temecula, CA 92590-2786 - Phone
- (951) 249-3436
- NPI assigned
- Jan 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | |||
| Counseling Psychologist | 103TC1900X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Clinical Psychologist | 103TC0700X | PSY33134 | CA | Primary |
Addresses
Primary practice location
28693 Old Town Front St Ste 300F
Temecula, CA 92590-2786
Mailing address
28693 Old Town Front St Ste 300F
Temecula, CA 92590-2786
Phone (951) 249-3436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221010002942 | CA | Practitioner - Clinical Psychologist | 0042696387 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY33134 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flourish Family Counseling, Inc. | Mental Health | Current | Accepting new patients |
| Heartsol Corporation | Past | Accepting new patients | |
| San Diego Brainworks Psychology & Neuropsychology Services | Clinical Neuropsychologist | Past | Accepting new patients |
Locations
41911 5th St
Ste 103
Temecula, CA 92590
Phone (951) 249-3628
Organizations & group practices 3
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.
-
- Marriage & Family Therapist
- Temecula, CA
- NPI 1598382988
Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Temecula, CA
- NPI 1215522198
-
- Psychologist
- San Diego, CA
- NPI 1427458710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1831460468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28693 OLD TOWN FRONT ST STE 300F",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902786",
"telephone_number": "951-249-3436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28693 OLD TOWN FRONT ST STE 300F",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902786",
"telephone_number": "951-249-3436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "LINDA",
"middle_name": "RENE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-12",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY33134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.