MICHAEL FRESE PH.D.
NPI 1588975247
Psychologist - Clinical in Los Angeles, CA

Active since June 28, 2010PECOS EnrolledAccepts Medicare Assignment
11500 NIMITZ AVE, LOS ANGELES, CA 90049(424) 832-8200 Get Directions Write a Review

NPPES record last updated: March 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2025, Oct 18, 2018 (2 updates tracked since 2018).

About Michael Frese Ph.d. NPPES

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

MICHAEL FRESE PH.D. (NPI 1588975247) is an individual clinical provider in Los Angeles, California, licensed in California (PSY23493) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1588975247
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMICHAEL FRESECredential: PH.D.
Location Address11500 NIMITZ AVELos Angeles, CA 90049-3566
Mailing AddressPo Box 491665Los Angeles, CA 90049-8665 · (818) 851-1051
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 28, 2010
Last NPPES UpdateMarch 16, 20252 updates tracked since enumeration
NPPES CertifiedMarch 16, 2025
NPI 1588975247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY23493
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.
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License PSY23493 (CA)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PSY23493 (CA)
11500 NIMITZ AVE, Los Angeles, CA 90049

Secondary Practice Location 1

Location 1300 Ucla Medical Plz Ste 1200Los Angeles, CA 90095-3566 · Phone (310) 825-9989 · Fax (310) 267-1908

Other Identifiers 1

OtherPSY23493CA · Board Of Psychology

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael Frese Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507980513
PECOS Enrollment IDI20100827000497
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90049 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

Occupational Therapist
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Social Worker (Clinical)
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Dietitian, Registered
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Psychiatry & Neurology (Geriatric Psychiatry)
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Pharmacist (Pharmacotherapy)
11500 NIMITZ AVE, ATTN: PHARMACY
LOS ANGELES, CA 90049
Surgery
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Occupational Therapist (Physical Rehabilitation)
11500 NIMITZ AVE, REHAB 3 FLOOR
LOS ANGELES, CA 90049
Physical Therapist
11500 NIMITZ AVE
LOS ANGELES, CA 90049

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 Michael Frese's NPI number?

The NPI number for Michael Frese is 1588975247. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Where is Michael Frese located?

Michael Frese practices at 11500 Nimitz Ave, Los Angeles, CA 90049. The listed phone number is (424) 832-8200.

What is Michael Frese's specialty?

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

Is Michael Frese enrolled in Medicare?

Yes. Michael Frese is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Frese was last updated on March 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.