Glen A Frese, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

990 Issued in WA

Practice address

656 N Miller St
Wenatchee, WA 98801-2044

Phone

(509) 663-3977

Fax

(509) 663-3109

NPI assigned

Mar 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1141430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1972570257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 N MILLER ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012044",
            "telephone_number": "509-663-3977",
            "fax_number": "509-663-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 N MILLER ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012044",
            "telephone_number": "509-663-3977",
            "fax_number": "509-663-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESE",
        "first_name": "GLEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-04",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0024078",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Franzen
• Delaney Frazier
• Stuart Freed, MD
• Michelle Freiberger, ARNP,BC
• Cheryl French, LICSW
• Jordan Christopher Friel, M.D.
• Jakob Oskar Frisch, RN
• Shaylee Lynn Fry
• May L Fu, DO
• Taylor C Fullmer, DPM

• Clinical Psychologist in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.