Individual provider Active NPI

Christine Ellen Frydenborg, PH.D.

  • Counseling Psychologist
  • Londonderry, NH
National Provider Identifier
1881613362
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Apr 20, 2010.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
929 Issued in NH
Practice address
75 Gilcreast Rd
Suite 200
Londonderry, NH 03053-3564
Phone
(603) 437-3393
Fax
(603) 437-3393
NPI assigned
Jul 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 929 NH Primary

Addresses

Primary practice location

75 Gilcreast Rd
Suite 200
Londonderry, NH 03053-3564

Mailing address

75 Gilcreast Rd
Suite 200
Londonderry, NH 03053-3564
Phone (603) 437-3393

Other identifiers 1

IdentifierTypeStateIssuer
30422790MedicaidNH

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881613362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GILCREAST RD",
            "address_2": "SUITE 200",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533564",
            "telephone_number": "603-437-3393",
            "fax_number": "603-437-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GILCREAST RD",
            "address_2": "SUITE 200",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533564",
            "telephone_number": "603-437-3393",
            "fax_number": "603-437-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYDENBORG",
        "first_name": "CHRISTINE",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NH",
            "license": "929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30422790",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.