Modena Frye-Patch

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT99116 Issued in CA

Practice address

303 W Manchester Blvd Ste 207
Inglewood, CA 90301-1154

Phone

(213) 926-1100

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Modena Frye Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• All Families Matter Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Inglewood, CA
  • NPI 1386286052
  NPD

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1912626136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 W LEXINGTON AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917665056",
            "telephone_number": "909-455-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W MANCHESTER BLVD STE 207",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011154",
            "telephone_number": "213-926-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE-PATCH",
        "first_name": "MODENA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT99116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MODENA",
            "last_name": "FRYE",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christine Fredricks, M.A.,
• Freeman Emergency Physicians Medical Group
• Breanna Renea Freeman-Jordan, M.D.
• Fresenius Medical Care - Eucalyptus, LLC
• Scott Frieden
• Gynaa Fryer, LVN
• Susan Fu
• Fubos Imaging, Inc.
• Eunice Dolores Fuentes
• Magdalena Fuentes

• Marriage & Family Therapist in Inglewood, CA
• Providers in Inglewood, 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 Aug 22, 2022; 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.