Frederick Psychotherapy LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

FREDERICK PSYCHOTHERAPY LLC

Practice address

#1088 1305 West 7TH St 1
Frederick, MD 21702

Phone

(703) 795-0853

NPI assigned

Jan 24, 2023

Last updated

Jan 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beth Frederick, PSY DNPI 1083000103

Title

Owner

Phone

(703) 795-0853

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beth Frederick, PSY D

  • Clinical Psychologist
  • Frederick, MD
  • NPI 1083000103
  NPD Authorized official

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1891401816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#1088 1305 WEST 7TH ST 1",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "703-795-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1088 1305 WEST 7TH ST 1",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "703-795-0853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Thomas Johnson Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024478",
            "country_code": "US",
            "telephone_number": "703-795-0853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREDERICK PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-795-0853",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Primary Care Associates, P.a.
• Frederick Primary Care Associates, P.a.
• Frederick Primary Care Associates, P.a.
• Frederick Psychiatry LLC
• Frederick Psychology Center LLC
• Frederick Reflexology LLC (Frederick Reflexology)
• Frederick Renal Care LLC.
• Frederick Surgical Center, LLC
• Frederick Urology Associates PA
• Frederick Urosurgical Center LLC

• Clinical Psychologist in Frederick, MD
• Providers in Frederick, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.