MARY A FRISTAD


Address: 1670 Upham Dr, Columbus, OH 43210-1250
Phone: 6142939600

MARY A FRISTAD (NPI# 1265791305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265791305
Entity Type Individual
Full Name MARY A FRISTAD
Credential PHD
Practice Address 1670 Upham Dr
Columbus
OH 43210-1250
Mailing Address 1670 Upham Drive
Columbus
OH 43210
Practice Telephone 6142939600
Practice Fax Number 6142934200
Mailing Telephone 6142939600
Mailing Fax Number 6142934200
Enumeration Date 2012-05-10
Last Update Date 2012-05-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
3860 OH Behavioral Health & Social Service Providers

Office Location

Street Address 1670 UPHAM DR
City COLUMBUS
State OH
Zip Code 43210-1250

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447243290 Nicholas Anthony Votolato Pharmacist 1670 Upham Dr, Columbus, OH 43210-1250 2005-08-26
1801409958 Lauren Khazem Student in an Organized Health Care Education/Training Program 1670 Upham Dr, Columbus, OH 43210-1250 2020-08-28
1801404652 Heather Wastler Psychologist 1670 Upham Dr, Columbus, OH 43210-1250 2020-07-17
1760001903 Colleen Elizabeth Waickman Student in an Organized Health Care Education/Training Program 1670 Upham Dr, Columbus, OH 43210-1240 2020-04-08
1598394355 Andrew Philip Student in an Organized Health Care Education/Training Program 1670 Upham Dr, Columbus, OH 43210-1250 2020-04-03
1235768326 Adam Levin Student in an Organized Health Care Education/Training Program 1670 Upham Dr, Columbus, OH 43210-1250 2020-04-02
1477181097 Mark Allen Fletcher Student in an Organized Health Care Education/Training Program 1670 Upham Dr, Columbus, OH 43210-1250 2020-03-30
1093343618 Kimberly Nicole Lowder Student in an Organized Health Care Education/Training Program 1670 Upham Dr, Columbus, OH 43210 2020-03-30
1396373817 Christine Gaby A Philippe Student in an Organized Health Care Education/Training Program 1670 Upham Dr, Columbus, OH 43210-1250 2020-03-30
1336777168 David Zhang Student in an Organized Health Care Education/Training Program 1670 Upham Dr, Columbus, OH 43210-1250 2020-03-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861014672 Nadine El Ayouty Dentist 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 2020-05-14
1982233953 Zacharia A Grami Emergency Medicine 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 2020-04-02
1578191219 Kaitlyn Greiner Student in an Organized Health Care Education/Training Program The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 2020-03-30
1265069280 Meryl P Sudhakar Student in an Organized Health Care Education/Training Program 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 2020-03-27
1124653514 William A Jansak Nurse Practitioner The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 2020-03-06
1114570058 Suzanne Bartle Haring Marriage & Family Therapist 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 2019-07-19
1487207387 Mehak Kaul Dentist 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 2019-07-19
1043873920 Andrew Kendle Student in an Organized Health Care Education/Training Program 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 2019-04-17
1093277840 Cory Pettit Student in an Organized Health Care Education/Training Program The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 2019-04-02
1447711866 Drew Michael S Donnell Student in an Organized Health Care Education/Training Program Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 2019-03-28
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972751980 Beth Ann Rosner Psychologist 6176 Stornoway Dr S, Columbus, OH 43213-2168 2008-09-03
1053445825 Glenn V Thomas Psychologist 399 E Main St Ste 120, Columbus, OH 43215-5384 2007-03-15
1346372778 Jack H Stevens Psychologist 700 Children's Drive J West 4th Floor, Nationwide Children's Hospital, Columbus, OH 43205-2664 2007-03-12
1487782264 Patricia A Lathrop Psychologist 921 Chatham Lane, Suite 112, Columbus, OH 43221 2007-03-01
1659439628 Jessica Alyce Bissey Psychologist 424 Washington St Ste 7, Columbus, IN 47201-6790 2006-12-04
1831565779 Lisa Macharoni Psychologist 4949 Olentangy River Rd, Columbus, OH 43214-1926 2015-08-14
1548505514 Tyanna Snider Psychologist 700 Childrens Dr, Department of Psychology and Neuropsychology, Columbus, OH 43205-2664 2012-12-03
1568714400 Jennifer A Hansen-moore Psychologist 700 Childrens Dr, Columbus, OH 43205-2664 2012-10-02
1336430073 Renee Devlin Psychologist 2540 Billingsley Rd, Columbus, OH 43235-1990 2011-04-28
1376852905 Claire Ackerman Psychologist 6435 E Broad St, Suite A, Columbus, OH 43213-1507 2010-09-30
Find all providers in COLUMBUS

Competitor

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City COLUMBUS
Zip Code 43210

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Dataset Information

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.

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