Tandra Froehlich Childress, MA, ATR, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

119154 Issued in CA

Practice address

676 Chenery St
San Francisco, CA 94131-3034

Phone

(510) 473-8051

NPI assigned

Apr 8, 2018

Last updated

Jul 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Our Common Ground, Inc. - Epa

  • Substance Abuse Rehabilitation Facility
  • East Palo Alto, CA
  • NPI 1366844060
  NPD (past)

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

{
    "created_epoch": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1912404864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 CHENERY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941313034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 CHENERY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941313034",
            "telephone_number": "510-473-8051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2560 Pulgas Ave",
            "address_purpose": "LOCATION",
            "city": "East Palo Alto",
            "state": "CA",
            "postal_code": "943031323",
            "country_code": "US",
            "telephone_number": "650-325-6466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950081428",
            "country_code": "US",
            "telephone_number": "510-473-8051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROEHLICH CHILDRESS",
        "first_name": "TANDRA",
        "credential": "MA, ATR, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-08",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony W Fritz, M.D.
• Charles Glenn Fritz, PSY.D.
• FRN Outpatient San Francisco
• FRN San Francisco, LLC (FRN Outpatient San Francisco)
• Cecilia Froberg
• Mary L Froehlich, GNP
• Ryan T. Froemming
• Sophia May Frohberg
• Paul A Frohna, MD, PHD
• Ashley E Frolich, LCSW

• Marriage & Family Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.