Active NPI
Shenelle Frederick, PSY.D.
- Psychologist
- Travis Afb, CA
National Provider Identifier
1881492692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY13278
- Practice address
- 60 MDG/SGXW
Travis Afb, CA 94535-1809 - Phone
- (707) 423-5174
- NPI assigned
- Mar 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY13278 | FL | Primary |
Addresses
Primary practice location
60 MDG/SGXW
Travis Afb, CA 94535-1809
Mailing address
39 Medical Group Unit 7095,
Box 185 BLDG. 865
Apo, AE 09824
Other practice location 1
39 Medical Group Unit 7095,
Box 185 Bldg. 865
Apo, AE 09824
Phone (314) 676-6452
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1881492692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "39 MEDICAL GROUP UNIT 7095,",
"address_2": "BOX 185 BLDG. 865",
"city": "APO",
"state": "AE",
"postal_code": "09824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MDG/SGXW",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351809",
"telephone_number": "707-423-5174"
}
],
"practiceLocations": [
{
"address_1": "39 Medical Group Unit 7095,",
"address_2": "Box 185 Bldg. 865",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AE",
"postal_code": "09824",
"country_code": "US",
"telephone_number": "314-676-6452",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "FREDERICK",
"first_name": "SHENELLE",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-06",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY13278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Travis Afb, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.