Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669439626 Individual Practitioner Male Practitioner

Dr. Fredrick Bruce Packard , EdD

Psychologist • Snowflake, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Fredrick Packard, EdD is a registered healthcare professional specializing in Psychologist in Snowflake, AZ. Practice services are available at 160 W FISH LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

160 W Fish Ln

Snowflake, AZ 859375085

Telephone 9282259111
Fax 9283665988

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Snowflake, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Snowflake, AZ (788 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-02
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License AZ 3125

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License Number
3125 (AZ)

Secondary Practice Locations

160 W Fish Ln

Snowflake, AZ 859375085

Phone: 9282259111

160 W Fish Ln

Snowflake, AZ 859375085

Phone: 9282259111

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 09, 2021

Registered at 160 W FISH LN, SNOWFLAKE, AZ 859375085 (Tel: 9282259111)

📍
Updated Business Mailing Address April 09, 2021

Registered at 160 W FISH LN, SNOWFLAKE, AZ 859375085 (Tel: 9282259111)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1030 N SAN FRANCISCO ST, #210, FLAGSTAFF, AZ 860013252 (Tel: 9287741121)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1030 N. SAN FRANCISCO ST., #210, FLAGSTAFF, AZ 86001 (Tel: 9287741121)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as FREDRICK PACKARD, EDD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #3125 in AZ)

🟢
Initial NPI Registration & Enumeration April 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669439626
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2006
Last Update: April 09, 2021
Sole Proprietor: Yes

Mailing Address

160 W Fish Ln

Snowflake, AZ 859375085

Phone: 9282259111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.