MRS. AUDREY NAOMI DEFRISCO M.S.
NPI 1447721063
Psychologist in San Luis Obispo, CA

Active since December 07, 2018Opted out of Medicare · through Jan 1, 2028
441 MARSH ST, SAN LUIS OBISPO, CA 93401(805) 305-3695(805) 543-0859 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Audrey Naomi Defrisco M.s. NPPES

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

MRS. AUDREY NAOMI DEFRISCO M.S. (NPI 1447721063) is an individual psychologist in San Luis Obispo, California, licensed in California (LMFT132113) and active in the NPI registry since December 2018. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1447721063
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMRS. AUDREY NAOMI DEFRISCOCredential: M.S.
Location Address441 MARSH STSan Luis Obispo, CA 93401
Mailing Address441 Marsh StSan Luis Obispo, CA 93401 · (805) 305-3695 · Fax (805) 543-0859
Fax(805) 543-0859
Sole ProprietorNo
Enumeration DateDecember 7, 2018
Last NPPES UpdateFebruary 23, 2024
NPI 1447721063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · LMFT132113
Definition
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.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 110475 (CA)
441 MARSH ST, San Luis Obispo, CA 93401

Other Names 1

Former Name (1)Audrey Naomi Pearce

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Audrey Naomi Defrisco M.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
441 MARSH ST
SAN LUIS OBISPO, CA 93401
Marriage & Family Therapist
441 MARSH ST
SAN LUIS OBISPO, CA 93401
Marriage & Family Therapist
441 MARSH ST
SAN LUIS OBISPO, CA 93401
Marriage & Family Therapist
441 MARSH ST
SAN LUIS OBISPO, CA 93401
Marriage & Family Therapist
441 MARSH ST
SAN LUIS OBISPO, CA 93401
Marriage & Family Therapist
441 MARSH ST
SAN LUIS OBISPO, CA 93401
Marriage & Family Therapist
441 MARSH ST
SAN LUIS OBISPO, CA 93401

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 Audrey Defrisco's NPI number?

The NPI number for Audrey Defrisco is 1447721063. It was assigned to this individual provider in the NPPES registry on December 7, 2018. The provider is also known as Audrey Naomi Pearce.

Where is Audrey Defrisco located?

Audrey Defrisco practices at 441 Marsh St, San Luis Obispo, CA 93401. The listed phone number is (805) 305-3695.

What is Audrey Defrisco's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Audrey Defrisco enrolled in Medicare?

No. Audrey Defrisco has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Audrey Defrisco was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.