Individual provider Active NPI

Nikki N Frousakis, PH.D.

  • Clinical Psychologist
  • Seal Beach, CA
National Provider Identifier
1982897815
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26857 Issued in CA
Practice address
12501 Seal Beach Blvd Ste 230
Seal Beach, CA 90740-8815
Phone
(562) 469-0855
NPI assigned
Aug 23, 2007
Last updated
Jan 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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 PSY26857 CA Primary

Addresses

Primary practice location

12501 Seal Beach Blvd Ste 230
Seal Beach, CA 90740-8815

Mailing address

12340 Seal Beach Blvd
Suite B226
Seal Beach, CA 90740-2792
Phone (562) 469-0855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY26857CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1982897815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 SEAL BEACH BLVD",
            "address_2": "SUITE B226",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402792",
            "telephone_number": "562-469-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 SEAL BEACH BLVD STE 230",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907408815",
            "telephone_number": "562-469-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROUSAKIS",
        "first_name": "NIKKI",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.