Individual provider Active NPI

Deanna Frye, PHD

  • Clinical Psychologist
  • Stow, OH
National Provider Identifier
1972566008
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4810 Issued in OH
Practice address
3869 Darrow Rd
Suite 104
Stow, OH 44224-2691
Phone
(330) 688-0800
Fax
(330) 688-0801
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4810 OH Primary

Addresses

Primary practice location

3869 Darrow Rd
Suite 104
Stow, OH 44224-2691

Mailing address

3869 Darrow Rd
Suite 104
Stow, OH 44224-2691
Phone (330) 688-0800

Other identifiers 1

IdentifierTypeStateIssuer
2005163MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060525000104 OH Practitioner - Clinical Psychologist 9335034610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Partners Physician GroupGroup PAC ID 4183529340, 409 clinicians

Practice addresses (Care Compare)

3200 W Market St
Suite 205
Fairlawn, OH 44333-3325
Phone (330) 836-6825

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4810OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group CurrentSince Jun 1, 2017 Accepting new patients
Partners Physician Group CurrentSince Jun 1, 2017 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Partners Physician Group Current Accepting new patients
Neurology and Neuroscience Associates, Inc. Past Accepting new patients

Locations

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

1621 Flickinger Rd
Akron, OH 44312
Phone (330) 784-1271

3200 W Market St
Ste 205
Fairlawn, OH 44333
Phone (330) 836-6825

Interoperability endpoints

  • Direct secure messaging: dfrye476421@direct.ccf.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1972566008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3869 DARROW RD",
            "address_2": "SUITE 104",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242691",
            "telephone_number": "330-688-0800",
            "fax_number": "330-688-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3869 DARROW RD",
            "address_2": "SUITE 104",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242691",
            "telephone_number": "330-688-0800",
            "fax_number": "330-688-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "DEANNA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005163",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

Verify at the official NPI Registry.