Individual provider Active NPI

Arthur William Frenz, PH.D.

  • Clinical Psychologist
  • Vestal, NY
National Provider Identifier
1851463897
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
010967 Issued in NY
Practice address
130 Front St
Suite 1
Vestal, NY 13850-1562
Phone
(607) 741-1212
Fax
(607) 741-1213
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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 010967 NY Primary

Addresses

Primary practice location

130 Front St
Suite 1
Vestal, NY 13850-1562

Mailing address

130 Front St
Suite 1
Vestal, NY 13850-1562
Phone (607) 741-1212

Other identifiers 1

IdentifierTypeStateIssuer
01503584MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070116000326 NY Practitioner - Clinical Psychologist 1658372776 Practice locations: Vestal, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 Front St
Vestal, NY 13850-1562

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1851463897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FRONT ST",
            "address_2": "SUITE 1",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501562",
            "telephone_number": "607-741-1212",
            "fax_number": "607-741-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FRONT ST",
            "address_2": "SUITE 1",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501562",
            "telephone_number": "607-741-1212",
            "fax_number": "607-741-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRENZ",
        "first_name": "ARTHUR",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01503584",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.