Active NPI
Kennetha Frye, PHD
- Clinical Psychologist
- Spring, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 37099
- Practice address
- 2002 Timberloch PL Ste 200
Spring, TX 77380-1182 - Phone
- (281) 815-0899
- NPI assigned
- Aug 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 37099 | TX | |
| Clinical Psychologist | 103TC0700X | 37099 | TX | Primary |
Addresses
Primary practice location
2002 Timberloch PL Ste 200
Spring, TX 77380-1182
Mailing address
5510 S Rice Ave Apt 2316
Houston, TX 77081-2164
Phone (713) 309-0266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2626 S Loop W
Suite 430
Houston, TX 77054-2649
Phone (817) 706-8415
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennetha L. Fry PHD PLLC | Current | Accepting new patients | |
| My Bright Future, LLC | Current | Accepting new patients | |
| On Site Counseling,Inc. | Current | Accepting new patients | |
| Deer Oaks Geriatric Services P C | Clinical | Current | Accepting new patients |
| Supportive Care LLC | Clinical | Current | Accepting new patients |
| Deer Oaks Mental Health Associates PC | Clinical | Past | Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
2626 S Loop W
Ste 430
Houston, TX 77054
Phone (713) 333-3771
3007 Caroline St
Houston, TX 77004
Phone (713) 528-2328
825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660
7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401
Organizations & group practices 6
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.
-
- Prescribing (Medical) Psychologist
- Houston, TX
- NPI 1225549413
-
- Clinical Psychologist
- San Antonio, TX
- NPI 1134169287
-
- Clinical Psychologist
- Garland, TX
- NPI 1477895043
-
- Psychologist
- Houston, TX
- NPI 1659986495
-
- Clinical Social Worker
- Houston, TX
- NPI 1720353048
-
- Clinical Psychologist
- Las Cruces, NM
- NPI 1134175763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1922551431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 S RICE AVE APT 2316",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770812164",
"telephone_number": "713-309-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 TIMBERLOCH PL STE 200",
"city": "SPRING",
"state": "TX",
"postal_code": "773801182",
"telephone_number": "281-815-0899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYE",
"first_name": "KENNETHA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-01",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "TX",
"license": "37099",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "37099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.