DR. MARK F FRY PHD, LP
NPI 1699705053
Psychologist - Clinical in Walnut Creek, CA
About Dr. Mark F Fry Phd, Lp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK F FRY PHD, LP (NPI 1699705053) is an individual clinical provider in Walnut Creek, California, licensed in California (19332) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Walnut Creek, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mark F Fry Phd, Lp 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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Fry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Scottsdale, AZ 85253
- Reassigned Medicare billing, California enrollment
- 766 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94597 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WALNUT CREEK, CA 94597
WALNUT CREEK, CA 94597
WALNUT CREEK, CA 94597
WALNUT CREEK, CA 94597
WALNUT CREEK, CA 94597
WALNUT CREEK, CA 94597
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 Mark Fry's NPI number?
The NPI number for Mark Fry is 1699705053. It was assigned to this individual provider in the NPPES registry on July 3, 2006.
Where is Mark Fry located?
Mark Fry practices at 2970 Camino Diablo Ste 300, Walnut Creek, CA 94597. The listed phone number is (925) 282-1778.
What is Mark Fry's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Mark Fry enrolled in Medicare?
Yes. Mark Fry 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.
Which organization bills Medicare for Mark Fry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Fry reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Fry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mark Fry was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.
# Dr. Mark F Fry, PHD, LP · NPI 1699705053
Clinical provider in Walnut Creek, California. Individual provider, active in the CMS NPPES registry since July 3, 2006.
## Identity
- **NPI:** 1699705053 (Entity type: Individual)
- **Enumerated:** July 3, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 19332 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2970 CAMINO DIABLO STE 300, Walnut Creek, CA 94597-4001
- **Phone:** (925) 282-1778 · **Fax:** (415) 296-5299
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Pacific Coast Psychiatric Associates Inc (NPI 1023125465, Scottsdale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** September 10, 2026
- **Other identifiers:** Medicaid PSY 193320 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1699705053) · Data from the CMS NPPES public registry.