DR. ERIC FREY, PC (NPI# 1467647891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467647891 |
| Entity Type | Organization |
| Organization Name | DR. ERIC FREY, PC |
| Practice Address |
6012 W William Cannon Dr Suite B103 Austin TX 78749-1980 |
| Practice Telephone | 5123589700 |
| Practice Fax Number | 5126875377 |
| Mailing Telephone | 5123589700 |
| Mailing Fax Number | 5126875377 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |
| Authorized Official Name | DR. ERIC DEAN FREY (PSYCHOLOGIST) |
| Authorized Official Telephone | 5123589700 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
31405 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 0025PS | 01 |
| Street Address |
6012 W WILLIAM CANNON DR SUITE B103 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78749-1980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912915646 | John Darrell Hernandez | Internal Medicine | 6012 W William Cannon Dr, Ste A102, Austin, TX 78749-1980 | 2006-08-05 |
| 1578979092 | Lindsay Heath | Clinical Neuropsychologist | 6012 W William Cannon Dr, B-103, Austin, TX 78749-1980 | 2014-07-03 |
| 1457784605 | Austin Connect To Wellness, Inc. | Behavioral Analyst | 6012 W William Cannon Dr, Suite B-103, Austin, TX 78749-1980 | 2013-08-12 |
| 1851642094 | Iektje Van Bolhuis | Psychologist | 6012 W William Cannon Dr, Ste B-103, Austin, TX 78749-1980 | 2012-09-27 |
| 1396051579 | Lindsay Downs Evans | Psychologist | 6012 W William Cannon Dr, Ste. B-103, Austin, TX 78749-1980 | 2010-08-25 |
| 1831401918 | Kristen Ridley Beers | Clinical Neuropsychologist | 6012 W William Cannon Dr, Ste. B-103, Austin, TX 78749-1980 | 2010-07-06 |
| 1881848364 | Stacey Bates | Psychologist | 6012 W William Cannon Dr, B-103, Austin, TX 78749-1980 | 2008-11-10 |
| 1275794406 | Wolfe Neuropsychological Services, Pllc | Clinical Neuropsychologist | 6012 W William Cannon Dr, B-103, Austin, TX 78749-1980 | 2008-06-20 |
| 1538331673 | Christina Toner Sabisch | Social Worker | 6012 W William Cannon Dr, Suite B-103, Austin, TX 78749-1980 | 2008-03-28 |
| 1992982565 | Monica Wolfe Stewart | Clinical Neuropsychologist | 6012 W William Cannon Dr, B-103, Austin, TX 78749-1980 | 2008-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144863812 | Atx Sleep Center of Austin | Clinic/Center | 5920 W William Cannon Dr Bldg 6 Ste 110, Austin, TX 78749 | 2019-10-24 |
| 1194366740 | Monica Leann Woodworth | Behavioral Analyst | 5700 S Mopac Expy, C310, Austin, TX 78749 | 2019-10-04 |
| 1346894045 | Brianna Gonzalez | Behavioral Analyst | 5700 S Mopac Expy C310, Austin, TX 78749 | 2019-07-31 |
| 1811549603 | Austin Michael Arzaga | Pharmacist | 6600 Mopac Expressway South, Austin, TX 78749 | 2019-07-11 |
| 1922565092 | Ashley Harmon | Social Worker | 5417 S Mopac Expy, 418, Austin, TX 78749 | 2019-02-26 |
| 1316391139 | National Vision, Inc. | Technician/Technologist | 5300 S Mopac Expw, Ste 102 & 102c, Austin, TX 78749 | 2016-04-18 |
| 1972976322 | P&h Services, LLC | Durable Medical Equipment & Medical Supplies | 5920 W. William Cannon Dr., Bldg 6, Ste. 225, Austin, TX 78749 | 2015-11-06 |
| 1023495207 | Oncall Emergency Center Circle C LLC | Clinic/Center | 5701 W. Slaughter Lane, Blg G Ste 101, Austin, TX 78749 | 2015-04-27 |
| 1447685953 | Sally Vanessa Moser | Dentist | 3601 W. William Cannon Dr, Bldg 4, Ste 500, Austin, TX 78749 | 2013-09-04 |
| 1386987576 | Qiwei Paulson | Internal Medicine | 7504 Orrick Dr, Austin, TX 78749 | 2013-04-05 |
| Find all providers in zip 78749 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313112 | Onyx Counseling and Wellness Center | Clinic/Center | 706 W Ben White Blvd Ste 170, Austin, TX 78704-8124 | 2020-03-31 |
| 1487299756 | Brittney Roberts Psychotherapy, Pllc | Clinic/Center | 5304 Woodrow Ave # A, Austin, TX 78756-2107 | 2019-11-11 |
| 1013474378 | Lara Hernandez Therapy, Pllc | Clinic/Center | 3810 Medical Pkwy Ste 255, Austin, TX 78756-4014 | 2019-02-22 |
| 1760957765 | Bravo Counseling Center, Pllc | Clinic/Center | 3305 Northland Drive, Suite 509, Austin, TX 78731-5039 | 2018-10-06 |
| 1700903861 | Jenan M Salman | Clinic/Center | 2908 Lantana Ridge Dr, Austin, TX 78732-2009 | 2007-03-23 |
| 1215007141 | Providence Service Corporation of Texas | Clinic/Center | 1524 S. Ih35, Suite 210, Austin, TX 78704 | 2006-11-08 |
| 1609814268 | Merchants of Hope Charities, Inc. | Clinic/Center | 2406 Manor Rd, Austin, TX 78722-2005 | 2006-06-03 |
| 1467068247 | Ample and Rooted Pllc | Clinic/Center | 1700 S Lamar Blvd Ste 338, Austin, TX 78704-3363 | 2020-09-17 |
| 1932722378 | Ellie Rogers Counseling Pllc | Clinic/Center | 1211 Alexander Ave, Austin, TX 78702-2421 | 2020-05-20 |
| 1861015208 | Cassie Segerson Counseling, Pllc | Clinic/Center | 1211 Alexander Ave, Austin, TX 78702-2421 | 2020-05-20 |
| Find all providers in AUSTIN | ||||
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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.