DR. KRYSTLE ROSE FRAZIER-PHILO (NPI# 1073032389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073032389 |
| Entity Type | Individual |
| Full Name | DR. KRYSTLE ROSE FRAZIER-PHILO |
| Other Name | DR. KRYSTLE ROSE FRAZIER |
| Credential | ED.D. |
| Practice Address |
686 E Mill St San Bernardino CA 92415-0647 |
| Mailing Address |
303 E Vanderbilt Way San Bernardino CA 92415-0026 |
| Practice Telephone | 9097988589 |
| Mailing Telephone | 9094219380 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY31885 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 E Bennett Ave Apt 4, Glendora, CA 917412694 | 9512413242 | |
| 850 E Foothill Blvd, Rialto, CA 92376 | 9512413242 |
| Street Address |
686 E MILL ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92415-0647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609919349 | Mark Edward Thomas | Marriage & Family Therapist | 686 E Mill St, San Bernardino, CA 92415-5230 | 2007-02-14 |
| 1356955207 | Vanessa Leanete Gonzalez | Student in an Organized Health Care Education/Training Program | 686 E Mill St, San Bernardino, CA 92415-0647 | 2020-09-08 |
| 1821601063 | County of San Bernardino | Clinic/Center | 686 E Mill St, San Bernardino, CA 92415-0647 | 2020-08-27 |
| 1619507035 | Juuna'e Dolores Dai're | Marriage & Family Therapist | 686 E Mill St, San Bernardino, CA 92415-0647 | 2020-01-24 |
| 1104468644 | Julie Schraner Egle | Student in an Organized Health Care Education/Training Program | 686 E Mill St, San Bernardino, CA 92415-0647 | 2019-10-16 |
| 1306488689 | Mi Young Son | Student in an Organized Health Care Education/Training Program | 686 E Mill St, San Bernardino, CA 92415-0647 | 2019-10-08 |
| 1598328072 | County of San Bernardino | Clinic/Center | 686 E Mill St, San Bernardino, CA 92415-0647 | 2019-04-19 |
| 1801361829 | Carolina Samano | Marriage & Family Therapist | 686 E Mill St, San Bernardino, CA 92415-0647 | 2018-10-05 |
| 1558805242 | Theresa Herbert | Occupational Therapist | 686 E Mill St, San Bernardino, CA 92415-0647 | 2016-12-14 |
| 1891142733 | Adrienne Grayson | Case Manager/Care Coordinator | 686 E Mill St, San Bernardino, CA 92415-5230 | 2016-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578041042 | Karina Judith Barragan | Student in an Organized Health Care Education/Training Program | 19500 South Sunwest Lane, San Bernardino, CA 92415 | 2018-08-06 |
| 1841714839 | Layla Subhani | Marriage & Family Therapist | 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 | 2017-08-01 |
| 1023546637 | Angelica Ruiz | Marriage & Family Therapist | 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2017-05-25 |
| 1750825030 | Jordyn Ackerman | Marriage & Family Therapist | 900 E Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2016-12-06 |
| 1083063663 | San Bernardino County Department of Public Health | Public Health or Welfare | 1505 South D Street, San Bernardino, CA 92415 | 2016-06-06 |
| 1366821233 | Jodi Cerney | Counselor | 1950 S. Sunwest Lane, Suite #200, San Bernardino, CA 92415 | 2015-05-26 |
| 1427442268 | Yessenia Cruz | Case Manager/Care Coordinator | 780 E Gilbert St Bldg H, San Bernardino, CA 92415 | 2015-03-18 |
| 1861808859 | Hector Armando Ortega | Student in an Organized Health Care Education/Training Program | 1950 S. Sunwest Ln., Rialto, CA 92415 | 2014-07-10 |
| 1437564762 | Ashlee Barker | Marriage & Family Therapist | 900 E Gilbert St. Cottage 4, San Bernardino, CA 92415 | 2014-06-25 |
| 1669802708 | County of San Bernardino | In Home Supportive Care | 784 E Hospitality Ln, San Bernardino, CA 92415 | 2013-11-26 |
| Find all providers in zip 92415 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760850770 | Barbaradee Foote | Psychologist | 155 E 54th St, San Bernardino, CA 92404-1116 | 2015-09-08 |
| 1811179682 | Western Pacific Psychological Network, Inc. | Psychologist | 435 Orange Show Ln Ste 105, San Bernardino, CA 92408-2015 | 2007-12-03 |
| 1659430577 | Heidi D Knipe Laird | Psychologist | 1325 Auto Plaza Dr, Suite 110, San Bernardino, CA 92408 | 2006-12-06 |
| 1699856229 | James Bernard Pace | Psychologist | 1255 E Highand Ave, Suite 216, San Bernardino, CA 92404 | 2006-10-18 |
| 1366466518 | Joan Francis | Psychologist | 1911 Commercenter E Ste 101, San Bernardino, CA 92408-3480 | 2006-07-27 |
| 1245259258 | Kohut Psychiatric Medical Group Inc | Psychologist | 1800 Medical Center Drive, Suite 300, San Bernardino, CA 92411 | 2006-07-19 |
| 1538695770 | Inland Psychiatric Medical Group, Inc. | Psychologist | 1800 Medical Center Dr, Suite 300, San Bernardino, CA 92411-1218 | 2017-05-09 |
| 1770027633 | Sara Dickes Hernandez | Psychologist | 1638 Windsor St, San Bernardino, CA 92407-3364 | 2016-12-12 |
| 1952858961 | Uchenna Nnaji | Psychologist | 900 E Gilbert St, Cottage 4, San Bernardino, CA 92415-0911 | 2016-09-07 |
| 1649638925 | Cynthia M Nakoski | Psychologist | 250 S G St, San Bernardino, CA 92410-3320 | 2016-02-02 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92415 |
Please comment or provide details below to improve the information on DR. KRYSTLE ROSE FRAZIER-PHILO.
| 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.