MS. SASHA J FRADIN


Address: Ncsu Psychoeducational Clinic, Campus Box 7650, Raleigh, NC 27695-0001
Phone: 9195151713

MS. SASHA J FRADIN (NPI# 1457577975) 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) 1457577975
Entity Type Individual
Full Name MS. SASHA J FRADIN
Credential M.A.
Practice Address Ncsu Psychoeducational Clinic
Campus Box 7650
Raleigh
NC 27695-0001
Mailing Address 6308 Virgilia Ct
Raleigh
NC 27616-3185
Practice Telephone 9195151713
Mailing Telephone 9199816232
Enumeration Date 2007-04-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
2281 NC Behavioral Health & Social Service Providers

Office Location

Street Address NCSU PSYCHOEDUCATIONAL CLINIC
CAMPUS BOX 7650
City RALEIGH
State NC
Zip Code 27695-0001

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1063952034 Natalie Murr Psychologist 640 Poe Hl, 2310 Katharine Stinson Drive, Raleigh, NC 27695-0001 2017-02-24
1821413519 Kristen Lyn Mostrom Specialist/Technologist, Other 2500 Warren Carroll Dr Box 8502, Raleigh, NC 27695-0001 2014-03-04
1699390021 Scott Donald Ensell Specialist/Technologist 2500 Warren Carroll Dr, Raleigh, NC 27695-0001 2020-06-11
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1538714175 Rebecca Eileen Barnette Psychologist 8374 Six Forks Rd Ste 201, Raleigh, NC 27615-5096 2019-08-08
1851857965 Jennifer Funaro Psychologist 8951 Harvest Oaks Dr, Raleigh, NC 27615-2113 2019-02-13
1518433010 Sarah Filone Psychologist 3040 Hammond Business Pl # 105, Raleigh, NC 27603-3666 2018-10-23
1700387545 Jamie Grisham Psychologist 333 Fayetteville St Ste 1225, Raleigh, NC 27601-1742 2018-02-27
1972002004 Ethan R. Levine, Ph.d. Psychologist 11937 Straight A Way Ln, Raleigh, NC 27613-7105 2018-02-05
1467964379 Tiffany Hopkins Psychologist 361 The Greens Cir Apt 244, Raleigh, NC 27606-5259 2017-11-01
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Competitor

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City RALEIGH
Zip Code 27695

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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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