DR. DARVIS T. FRAZIER (NPI# 1245608793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245608793 |
| Entity Type | Individual |
| Full Name | DR. DARVIS T. FRAZIER |
| Credential | PH.D. |
| Practice Address |
4938 Williamstown Blvd Lakeland FL 33810-3705 |
| Practice Telephone | 3057783478 |
| Mailing Telephone | 3057783478 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2020-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 2513 | OR | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | PY9412 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4938 WILLIAMSTOWN BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33810-3705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811495096 | Suzanne Brabant | Social Worker | 8179 Westmont Terrace Drive, Lakeland, FL 33810 | 2018-01-23 |
| 1396102554 | Faison Health Care Solution | Custodial Care Facility | 2064 View Point Landings Rd, Lakeland, FL 33810 | 2016-01-19 |
| 1306212808 | Drew Brownlow | Physical Therapy Assistant | 6303 Brahman Drive, Lakeland, FL 33810 | 2015-08-19 |
| 1043699051 | Ilene Shumaker Griffin | Home Health Aide | 2930 Oak Tree Ln, Lakeland, FL 33810 | 2015-05-22 |
| 1962881276 | Richardson Anointing Hands | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 708east Ponderosa Dr, Lakeland, FL 33810 | 2015-05-20 |
| 1336352756 | Avito Veloso Vano | Physical Therapist | 9460 Redhawk Bend Lane, Lakeland, FL 33810 | 2007-05-08 |
| 1104978444 | Jean Bednarski Waters | Registered Nurse | 8516 N Campbell Rd, Lakeland, FL 33810 | 2007-01-17 |
| 1407892656 | David Willis Kent | Counselor | 930 Alicea Rd, Lakeland, FL 33810 | 2006-06-22 |
| 1972818359 | Suzanne B Stewart | Pharmacist | 3120 Kathleen Rd, Lakeland, FL 33810 | 2010-08-10 |
| 1689117228 | Kyosha Howard | Occupational Therapist | 3624 Country Ln, Lakeland, FL 33810-0238 | 2016-11-30 |
| Find all providers in zip 33810 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538653647 | Rodney Dean Williams | Psychologist | 1811 Staunton Ave, Lakeland, FL 33803-2553 | 2018-06-21 |
| 1003366832 | Jeremy Cummings | Psychologist | 5121 S Lakeland Dr, #4, Lakeland, FL 33813-2623 | 2016-10-05 |
| 1588910806 | Richard Browning | Psychologist | 6146 Palomino Dr, Lakeland, TN 38002-9632 | 2012-07-25 |
| 1649432899 | Paul S Suich | Psychologist | 77 Shadow Ln, Lakeland, FL 33813-3592 | 2008-06-30 |
| 1639397169 | Sally Stader | Psychologist | 4404 S.florida Ave., Suite #3, Lakeland, FL 33813-2169 | 2007-04-22 |
| 1295844009 | David M Cook | Psychologist | 306 East Highland Drive, Lakeland, FL 33813-1727 | 2006-08-29 |
| 1205895471 | Cynthia S Mcdanal | Psychologist | 4729 Us 98 S, Suite 104, Lakeland, FL 33812-4323 | 2006-03-17 |
| 1518424357 | Samantha Sedlak | Psychologist | 631 Midflorida Dr, Lakeland, FL 33813-4902 | 2019-02-28 |
| 1568943777 | Suzanne Lavelle LLC | Psychologist | 631 Midflorida Dr, Lakeland, FL 33813-4902 | 2018-08-25 |
| 1518384742 | Robert Allison | Psychologist | 4729 Us 98 S, Suite 104, Lakeland, FL 33812-4323 | 2014-03-26 |
| Find all providers in LAKELAND | ||||
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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.