DR. ANNE M FREDERICKSON MD NPI 1629259288

NPI Information

  • NPI: 1629259288
  • Provider Name: DR. ANNE M FREDERICKSON, MD
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 E LEHIGH AVE
    PHILADELPHIA, PA
    ZIP 19125
  • Phone: (215) 707-8496

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NPI Details

DR. Anne M Frederickson, MD is a child and adolescent psychiatry psychiatry neurology in Philadelphia, PA with 23 years of experience. The provider is 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. DR. Anne M Frederickson, MD NPI is 1629259288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:2003

The provider's business location address is:

100 E LEHIGH AVE
PHILADELPHIA, PA
ZIP 19125-012
Phone: (215) 707-8496
Fax: (215) 707-4086

The NPI 1629259288 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/23/2007 and was last updated on 4/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology25MA09605400NEW JERSEYNo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry434036PENNSYLVANIAYes
32084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry25MA09605400NEW JERSEYNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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