DR. RUSSELL T FRY I (NPI# 1457455792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457455792 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL T FRY I |
| Credential | PSYD |
| Practice Address |
363 Court Street Suite 1 Plymouth MA 02360 |
| Practice Telephone | 5087468004 |
| Practice Fax Number | 5087468099 |
| Mailing Telephone | 5087468004 |
| Mailing Fax Number | 5087468099 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2015-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 3861 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114981826 | Russell L Fry II | Ophthalmology | 5187 Us Route 60 E, Ste 6, Huntington, WV 25705-2076 | 2006-04-12 |
| Street Address |
363 COURT STREET SUITE 1 |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| 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 |
|---|---|---|---|---|
| 1861031056 | Candi Lyn Rosenberg | Psychologist | 595 Forest Ave Ste 7and11a, Plymouth, MI 48170-1775 | 2020-01-05 |
| 1255829081 | Joseph Matthew Mitchell | Psychologist | 44450 Pinetree Dr Ste 101, Plymouth, MI 48170-3869 | 2018-04-26 |
| 1164808390 | Wisconsin Lutheran Child &famliy Service, Inc | Psychologist | 3350 Harbor Ln N, Plymouth, MN 55447-5255 | 2015-08-11 |
| 1972982106 | Inspired By Me Psychological Wellness | Psychologist | 9341 N Haggerty Rd, Plymouth, MI 48170-4622 | 2015-05-20 |
| 1336564970 | Celena N Khatib | Psychologist | 340 N Main St Ste 210, Plymouth, MI 48170-1250 | 2014-02-19 |
| 1851673537 | Juvaria Javaid | Psychologist | 51248 Plymouth Ridge Dr, Plymouth, MI 48170-6366 | 2011-09-19 |
| 1770862781 | Ionela Herman | Psychologist | 41550 E Ann Arbor Trl, Plymouth, MI 48170-4308 | 2011-08-08 |
| 1548404270 | Jocelyn A Markowicz | Psychologist | 843 Penniman Ave, Plymouth, MI 48170-1757 | 2009-04-24 |
| 1063631695 | Gail Ann Thoen | Psychologist | 12525 42 Avenue North, Plymouth, MN 55441-1265 | 2007-04-24 |
| 1508984048 | Anne Marie Caldwell | Psychologist | 409 Plymouth Rd Ste 270, Plymouth, MI 48170-1842 | 2007-03-26 |
| Find all providers in PLYMOUTH | ||||
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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.