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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RONALD JAMES FREDERICK JR. PHD
NPI 1417957101
Psychologist - Clinical in Los Angeles, CA

Active since July 26, 2005
6330 SAN VICENTE BLVD STE 510, LOS ANGELES, CA 90048(310) 275-5075 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Apr 22, 2026, Apr 17, 2026 (3 updates tracked since 2026).

About Dr. Ronald James Frederick Jr. Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RONALD JAMES FREDERICK JR. PHD (NPI 1417957101) is an individual clinical provider in Los Angeles, California, licensed in California (PSY24089) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1417957101
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. RONALD JAMES FREDERICK JR.Credential: PHD
Location Address6330 SAN VICENTE BLVD STE 510Los Angeles, CA 90048-5455
Mailing Address6330 San Vicente Blvd Ste 210Los Angeles, CA 90048-5441 · (612) 926-8149
Phone(310) 275-5075
Sole ProprietorNo
Enumeration DateJuly 26, 2005
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1417957101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY24089
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
6330 SAN VICENTE BLVD STE 510, Los Angeles, CA 90048
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINDFIELD MEDICAL
Internal Medicine
6330 SAN VICENTE BLVD STE 510
LOS ANGELES, CA 90048
Los Angeles County (310) 658-4008
MINDFIELD WELLNESS
Home Infusion
6330 SAN VICENTE BLVD STE 510
LOS ANGELES, CA 90048
Los Angeles County (310) 658-4008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronald Frederick's NPI number?

The NPI number for Ronald Frederick is 1417957101. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Ronald Frederick located?

Ronald Frederick practices at 6330 San Vicente Blvd Ste 510, Los Angeles, CA 90048. The listed phone number is (310) 275-5075.

What is Ronald Frederick's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Ronald Frederick was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.