DR. FREDERIC KRELL (NPI# 1124189105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124189105 |
Entity Type | Individual |
Full Name | DR. FREDERIC KRELL |
Credential | PH.D. |
Practice Address |
1 Salem Grn Salem MA 01970-3724 |
Practice Telephone | 9787403100 |
Practice Fax Number | 9787403100 |
Mailing Telephone | 9787403100 |
Mailing Fax Number | 9787403100 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TF0200X |
Psychologist Specialization: Forensic |
762 | MA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BLUE CROSS GROUP NUMBER | W10327 | 01 |
MA | MHN | 95907 | 01 |
MA | BLUE CROSS INDIVIDUAL NUM | KRW01832 | 01 |
MA | MERIT BEHAVIORAL | 104133 | 01 |
MA | MAGELLAN | IP098621 | 01 |
Street Address |
1 SALEM GRN |
City | SALEM |
State | MA |
Zip Code | 01970-3724 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619930906 | Andrew Lyon Kumin | Psychologist | 1 Salem Grn, Suite 400, Salem, MA 01970-3724 | 2006-04-09 |
1255492724 | Mark Schaefer | Psychologist | 1 Salem Grn, Suite 501, Salem, MA 01970-3724 | 2006-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
Find all providers in zip 01970 |
Taxonomy Code | 103TF0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Forensic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871082727 | Robert H. Joss | Psychologist | 70 Washington St Ste 210, Salem, MA 01970-3510 | 2018-05-07 |
1689284739 | Nicole Humphrey | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-08-04 |
1689200784 | Sophia Jaeger-manson | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-03-20 |
1811529357 | Leah Marie Glass | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-02-11 |
1659892479 | Megan Wise | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2017-07-01 |
1346788106 | Courtney Prokosch | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2017-02-01 |
1669919809 | Lindsay Ingram | Psychologist | 2600 Center St Ne, Forensic Evaluation Services, Salem, OR 97301-2669 | 2017-01-26 |
1033325006 | Rochelle Frehling | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2007-05-15 |
1255492724 | Mark Schaefer | Psychologist | 1 Salem Grn, Suite 501, Salem, MA 01970-3724 | 2006-12-12 |
1750458030 | Jeffrey D Stein | Psychologist | 70 Washington St, Suite 210, Salem, MA 01970-3518 | 2006-11-29 |
Find all providers in SALEM |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.