Individual provider Active NPI

Mary Ellen Frazier, PSY. D.

  • Psychologist
  • Naples, FL
National Provider Identifier
1972554640
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 0038 Issued in FL
Practice address
834 Anchor Rode Dr
Naples, FL 34103-2739
Phone
(239) 643-9889
Fax
(239) 643-7074
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY 0038 FL Primary

Addresses

Primary practice location

834 Anchor Rode Dr
Naples, FL 34103-2739

Mailing address

834 Anchor Rode Dr
Naples, FL 34103-2739
Phone (239) 643-9889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110421000492 FL Practitioner - Clinical Psychologist 1052595337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

834 Anchor Rode Dr
Naples, FL 34103-2739

9990 Coconut Rd
Suite 236
Estero, FL 34135-8488
Phone (239) 643-9889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY 0038FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Ellen Frazier, Psy.D. P.a. CurrentSince Feb 15, 2011 Accepting new patients

Locations

9990 Coconut Rd
Ste 236
Estero, FL 34135
Phone (239) 643-9889

834 Anchor Rode Dr
Naples, FL 34103
Phone (239) 613-9889

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972554640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 ANCHOR RODE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032739",
            "telephone_number": "239-643-9889",
            "fax_number": "239-643-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 ANCHOR RODE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032739",
            "telephone_number": "239-643-9889",
            "fax_number": "239-643-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 0038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.