FREDRIC A KRISTAL PHD
NPI 1649210865
Psychologist in Bangor, ME

Active since June 07, 2006PECOS Enrolled
29 FRANKLIN ST, BANGOR, ME 04401(207) 942-3816(207) 561-4725 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2021, Feb 24, 2021 (2 updates tracked since 2021).

About Fredric A Kristal Phd NPPES

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

FREDRIC A KRISTAL PHD (NPI 1649210865) is an individual psychologist in Bangor, Maine, licensed in Maine (PS925) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brewer.

NPPES Registry Identity

NPI1649210865
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameFREDRIC A KRISTALCredential: PHD
Location Address29 FRANKLIN STBangor, ME 04401-4909
Mailing Address29 Franklin StBangor, ME 04401-4909 · (207) 942-3816 · Fax (207) 561-4725
Fax(207) 561-4725
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateMay 4, 20212 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
NPI 1649210865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in ME · PS925
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.
29 FRANKLIN ST, Bangor, ME 04401

Secondary Practice Location 1

Location 1735 Wilson StBrewer, ME 04412-1000 · Phone (207) 989-1567 · Fax (207) 989-2286

Other Identifiers 2

Other098303ME · Anthem Legacy Number
Medicaid223490099ME

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Fredric A Kristal Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 17

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

Counselor (Addiction (Substance Use Disorder))
29 FRANKLIN ST
BANGOR, ME 04401
Social Worker
29 FRANKLIN ST
BANGOR, ME 04401
Psychologist (Clinical)
29 FRANKLIN ST
BANGOR, ME 04401
Counselor (Professional)
29 FRANKLIN ST
BANGOR, ME 04401
Counselor (Addiction (Substance Use Disorder))
29 FRANKLIN ST
BANGOR, ME 04401
Counselor (Addiction (Substance Use Disorder))
29 FRANKLIN ST
BANGOR, ME 04401
Counselor (Professional)
29 FRANKLIN ST
BANGOR, ME 04401
Social Worker
29 FRANKLIN ST
BANGOR, ME 04401

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 Fredric Kristal's NPI number?

The NPI number for Fredric Kristal is 1649210865. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Fredric Kristal located?

Fredric Kristal practices at 29 Franklin St, Bangor, ME 04401. The listed phone number is (207) 942-3816.

What is Fredric Kristal's specialty?

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

Is Fredric Kristal enrolled in Medicare?

Yes. Fredric Kristal is registered in the Medicare PECOS enrollment system.

What insurance does Fredric Kristal accept?

Health plans from Anthem Blue Cross and Blue Shield list Fredric Kristal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fredric Kristal was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.