MICHAEL ROBERT FREDERIKSEN 101YA0400X
NPI 1609419951
Counselor - Addiction (Substance Use Disorder) in French Camp, CA

Active since October 18, 2019
500 W HOSPITAL RD, FRENCH CAMP, CA 95231(209) 468-6857 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Michael Robert Frederiksen 101ya0400x NPPES

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

MICHAEL ROBERT FREDERIKSEN 101YA0400X (NPI 1609419951) is an individual addiction (substance use disorder) provider in French Camp, California and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1609419951
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHAEL ROBERT FREDERIKSENCredential: 101YA0400X
Location Address500 W HOSPITAL RDFrench Camp, CA 95231-9693
Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 468-8700
Sole ProprietorNo
Enumeration DateOctober 18, 2019
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
NPI 1609419951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCommunity Health WorkerTaxonomy 172V00000X · License 10139 (CA)
500 W HOSPITAL RD, French Camp, CA 95231

Other Providers at the Same Location NPPES 20

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

Counselor (Addiction (Substance Use Disorder))
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Student in an Organized Health Care Education/Training Program
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Counselor (Addiction (Substance Use Disorder))
500 W HOSPITAL RD
FRENCHCAMP, CA 95231
Obstetrics & Gynecology
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Family Medicine (Sports Medicine)
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Counselor (Addiction (Substance Use Disorder))
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Student in an Organized Health Care Education/Training Program
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Surgery
500 W HOSPITAL RD
FRENCH CAMP, CA 95231

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 Frederiksen's NPI number?

The NPI number for Michael Frederiksen is 1609419951. It was assigned to this individual provider in the NPPES registry on October 18, 2019.

Where is Michael Frederiksen located?

Michael Frederiksen practices at 500 W Hospital Rd, French Camp, CA 95231. The listed phone number is (209) 468-6857.

What is Michael Frederiksen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Michael Frederiksen was last updated on May 20, 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.