DR. ANNE M FREDERICKSON (NPI# 1629259288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629259288 |
| Entity Type | Individual |
| Full Name | DR. ANNE M FREDERICKSON |
| Credential | MD |
| Practice Address |
100 E Lehigh Ave Philadelphia PA 19125-1012 |
| Mailing Address |
2450 W Hunting Park Ave Philadelphia PA 19129-1302 |
| Practice Telephone | 2157078496 |
| Practice Fax Number | 2157074086 |
| Mailing Telephone | 2157078496 |
| Mailing Fax Number | 2157074086 |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2014-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
434036 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740434752 | Anne Frederickson | Psychologist | 2500 Pond Vw, Suite 102a, Castleton, NY 12033-9750 | 2008-11-05 |
| Street Address |
100 E LEHIGH AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19125-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699774612 | Joel Stuart Shuster | Pharmacist | 100 E Lehigh Ave, Room 325, Philadelphia, PA 19125-1000 | 2005-07-20 |
| 1598382194 | Fan Zhang | Student in an Organized Health Care Education/Training Program | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-30 |
| 1063039832 | Francesca Antonina Arana | Student in an Organized Health Care Education/Training Program | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-28 |
| 1386261238 | Matthew Lu | Psychiatry & Neurology | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-26 |
| 1215554282 | Isabel Stillman | Psychiatry & Neurology | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-25 |
| 1407473408 | Poorna Sreekumar | Student in an Organized Health Care Education/Training Program | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-25 |
| 1285251280 | Yunichel Joo | Student in an Organized Health Care Education/Training Program | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-25 |
| 1235755331 | Jessica Benson | Student in an Organized Health Care Education/Training Program | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-24 |
| 1093331043 | Marianela Rosales Gerpe | Psychiatry & Neurology | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-24 |
| 1700402765 | Amber Navy | Psychiatry & Neurology | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194241810 | Latiana Ridgell | Registered Nurse | 1080 N. Delaware Ave, Suite 300d, Phildelphia, PA 19125 | 2017-08-15 |
| 1659800175 | Michael William Pelekanos | Psychiatry & Neurology | 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 | 2017-06-08 |
| 1063940187 | Travis J Dichoso | Psychiatry & Neurology | 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2017-06-02 |
| 1891232419 | Kristin Marie Iannuzzelli | Counselor | 1114 Earl Street, Philadelphia, PA 19125 | 2017-01-20 |
| 1811440399 | Temple University Hospital | Psychiatric Hospital | 100 East Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2016-08-01 |
| 1518343359 | Tamer Hassan Zayed Moustafa | Dentist | 100 E Lehigh Ave # Pm2, Philadelphia, PA 19125 | 2015-08-04 |
| 1235564337 | Ron Benjamin | Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
| 1457799165 | Ross Andrew Levine | Dentist | 100 E. Lehigh Ave, Pedatric Dental Associates, Philadelphia, PA 19125 | 2013-06-05 |
| 1518228543 | Kristen Kathleen Howland | Occupational Therapist | 404 East Flora St, Philadelphia, PA 19125 | 2012-06-06 |
| 1447539754 | Kiran Majeed | Psychiatry & Neurology | 100 E. Lehigh Aveune, Suite # 105, Philadelphia, PA 19125 | 2011-08-04 |
| Find all providers in zip 19125 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902440621 | Eastern Pennsylvania Physician Alliance LLC | Psychiatry & Neurology | 4641 E Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2019-11-06 |
| 1982083366 | Jaclyn Chua | Psychiatry & Neurology | 3440 Market St Ste 200, Philadelphia, PA 19104-3336 | 2015-05-19 |
| 1295175602 | Grace Unsal | Psychiatry & Neurology | Belmont Behavioral Hospital, LLC, 4200 Monument Road, Philadelphia, PA 19131 | 2013-06-29 |
| 1437463783 | Gordon R. Hodas | Psychiatry & Neurology | 8104 Germantown Ave, Philadelphia, PA 19118-3423 | 2010-07-28 |
| 1063731388 | Marc A. Forman | Psychiatry & Neurology | 233 S. 6th St, Philadelphia, PA 19106-3756 | 2010-05-26 |
| 1578723839 | Thomas Jefferson University Psych | Psychiatry & Neurology | 833 Chestnut St Ste 630, Philadelphia, PA 19107-4416 | 2008-06-11 |
| 1346464880 | Manely Ghaffari | Psychiatry & Neurology | 129 N 4th St, Office 1f, Philadelphia, PA 19106-1817 | 2007-04-13 |
| 1700954922 | Neurology Associates Ltd | Psychiatry & Neurology | 1514 Wolf St, Philadelphia, PA 19145-4441 | 2006-12-04 |
| 1912088667 | Linda Diane Gordon | Psychiatry & Neurology | 801 Market Street, Community Behavioral Health, 7th Floor, Philadelphia, PA 19107 | 2006-10-18 |
| 1821182726 | Katie L. Hoeveler | Psychiatry & Neurology | 3440 Market Street, 4th Floor, The Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2006-10-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19125 |
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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.