Jeremy Philip Frank, PH.D. CAC

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

PS015328 Issued in PA

Practice address

3900 City Ave Ste D108
Presidential City Apartments, Madison BLDG.
Phila, PA 19131-2926

Phone

(215) 356-8061

NPI assigned

Jul 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2018 through Jul 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1962758052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CITY AVE STE D108",
            "address_2": "PRESIDENTIAL CITY APARTMENTS, MADISON BLDG.",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191312926",
            "telephone_number": "215-356-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CITY AVE STE D108",
            "address_2": "PRESIDENTIAL CITY APARTMENTS, MADISON BLDG.",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191312926",
            "telephone_number": "215-356-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "JEREMY",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "PH.D. CAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PS015328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Fligelman, DMD
• Loretta Ann Flowers, L.P.N., W.C.C.
• William Foreman, MS
• Marlise Robin Frame, RDN, LDN
• Frank Macri, DPM, P.C.
• Ruth Frank, M.D.
• Urmila Franklin, M.D.
• Louise B Frebowitz, MSPA CCC
• Emily Frederick, CRNP
• Nathan Freed, DO

• Addiction (Substance Use Disorder) Psychologist in Phila, PA
• Providers in Phila, PA by specialty
• Addiction (Substance Use Disorder) Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.