MICHAEL A FRAGA (NPI# 1518938315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518938315 |
| Entity Type | Individual |
| Full Name | MICHAEL A FRAGA |
| Other Name | MICHAEL A FRAGA |
| Credential | PSY.D. |
| Practice Address |
1717 W 2nd St Roswell NM 88201-2000 |
| Mailing Address |
3015 Mission Arch Dr Roswell NM 88201-8304 |
| Practice Telephone | 5756231220 |
| Mailing Telephone | 7074941303 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1041 | NM | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1260 N Dutton Ave, Suite 225, Santa Rosa, CA 954014659 | 7074941303 |
| Street Address |
1717 W 2ND ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265807192 | Choices Center for Independent Living Inc. | Case Management | 1717 W 2nd St, Suite 115, Roswell, NM 88201-2000 | 2015-12-03 |
| 1669750824 | Tammy Lynn Ray | Homeopath | 1717 W 2nd St, Suite 116, Roswell, NM 88201-2000 | 2011-07-21 |
| 1801030093 | Mcguire Wound & Ostomy Center PC | Nurse Practitioner | 1717 W 2nd St, Suite 101, Roswell, NM 88201-2000 | 2009-05-01 |
| 1871733659 | Gretta Dickman | Massage Therapist | 1717 W 2nd St, Suite 115, Roswell, NM 88201-2000 | 2009-03-06 |
| 1548400559 | Allergy & Asthma Clinic, LLC | Allergy & Immunology | 1717 W 2nd St, Suite 219, Roswell, NM 88201-2000 | 2009-03-03 |
| 1316135957 | Sleep Diagnostic Centers of New | Clinic/Center | 1717 W 2nd St, Suite 172, Roswell, NM 88201-2000 | 2007-10-09 |
| 1982826079 | Prn Medical | Family Medicine | 1717 W 2nd St, Suite 115, Roswell, NM 88201-2000 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1174739155 | Logsdon Conradsen, LLC | Clinical Neuropsychologist | 515 E Crossville Rd, Suite 410, Roswell, GA 30075-3087 | 2007-05-15 |
| 1457472359 | Damond J Logsdon | Clinical Neuropsychologist | 515 E Crossville Rd, Suite 420, Roswell, GA 30075-3087 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326677220 | Owen James Gaasedelen | Clinical Neuropsychologist | 2527 Wyoming Blvd Ne Ste A, Albuquerque, NM 87112-1039 | 2020-04-03 |
| 1720521859 | Inetmed Rx2 Inc. | Clinical Neuropsychologist | 3655 Research Drive, Building A, Las Cruces, NM 88003-1239 | 2016-11-21 |
| 1326446881 | Lynette M Abrams-silva | Clinical Neuropsychologist | 320 Gold Avenue Sw, Suite 1001, Albuquerque, NM 87102 | 2014-12-16 |
| 1437550415 | Robert Brock Frost | Clinical Neuropsychologist | 3400 Constitution Ave Ne, Suite C, Albuquerque, NM 87106-1242 | 2014-09-10 |
| 1205237344 | Eric H. Zimak | Clinical Neuropsychologist | Center for Neuropsychological Services, Msc 09 5030, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2014-09-09 |
| 1861824898 | Sandia Neuropsychology LLC | Clinical Neuropsychologist | 3400 Constitution Ne, Albuquerque, NM 87106 | 2013-08-01 |
| 1881033231 | Clinical, Forensic Neruopsychologist Associates of New Mexico | Clinical Neuropsychologist | 3228 Los Arboles Ave Ne, Bldg. 1-230, Albuquerque, NM 87107-1962 | 2013-06-19 |
| 1639433527 | Stephanie Ann Gorman | Clinical Neuropsychologist | Center for Neuropsychological, Msc09 5030-1 Unm, Albuquerque, NM 87131-0001 | 2012-06-26 |
| 1508142019 | Sharon Janice Kernen | Clinical Neuropsychologist | 9001 Galaxia Way Ne, Albuquerque, NM 87111-1440 | 2011-10-27 |
| 1780916130 | High Plains Neuropsychology Associates PC | Clinical Neuropsychologist | 1101 Douglas Ave, Las Vegas, NM 87701-3932 | 2010-02-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHAEL A FRAGA.
| 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.