Individual provider Active NPI

Rachel B Fry, PH,D,

  • Clinical Psychologist
  • Birmingham, AL
National Provider Identifier
1871669945
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1383 Issued in AL
Practice address
3125 Independence Dr Ste 307
Birmingham, AL 35209-4165
Phone
(205) 803-3800
Fax
(205) 803-3803
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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

State licenses

LicenseStateTypeSpecialty
1383GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fry Behavioral Health, P.C. Clinical PastSince Jun 18, 2011 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1383 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

3125 Independence Dr Ste 307
Birmingham, AL 35209-4165

Mailing address

3125 Independence Dr Ste 307
Birmingham, AL 35209-4165
Phone (205) 803-3800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 3, 2011.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1871669945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 INDEPENDENCE DR STE 307",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094165",
            "telephone_number": "205-803-3800",
            "fax_number": "205-803-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 INDEPENDENCE DR STE 307",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094165",
            "telephone_number": "205-803-3800",
            "fax_number": "205-803-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "RACHEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH,D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.