DR. MARK F FRY PHD, LP
NPI 1699705053
Psychologist in Walnut Creek, CA

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
2970 CAMINO DIABLO STE 300, WALNUT CREEK, CA 94597(925) 282-1778(415) 296-5299 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2025, Jul 11, 2024, Apr 12, 2021 and 2 more (5 updates tracked since 2017).

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 psychologist 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

NPI1699705053
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARK F FRYCredential: PHD, LP
Location Address2970 CAMINO DIABLO STE 300Walnut Creek, CA 94597-4001
Mailing Address2970 Camino Diablo Ste 300Walnut Creek, CA 94597-4001 · (925) 282-1778 · Fax (415) 296-5299
Fax(415) 296-5299
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 3, 2006
Last NPPES UpdateJuly 14, 20255 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
NPI 1699705053 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 CA · 19332
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.

2970 CAMINO DIABLO STE 300, Walnut Creek, CA 94597

Other Names 1

Former Name (1)Mark Fry

Secondary Practice Location 1

Location 11226 ROSSMOOR PKWYWALNUT CREEK, CA 94595-2538 · Phone (925) 975-5000

Other Identifiers 1

MedicaidPSY 193320CA

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

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.

PECOS PAC ID1658274097
PECOS Enrollment IDI20040131000302
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 20

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

Psychiatry & Neurology (Psychiatry)
2970 CAMINO DIABLO STE 300
WALNUT CREEK, CA 94597
Psychologist (Clinical)
2970 CAMINO DIABLO STE 300
WALNUT CREEK, CA 94597
Social Worker (Clinical)
2970 CAMINO DIABLO STE 300
WALNUT CREEK, CA 94597
Social Worker (Clinical)
2970 CAMINO DIABLO STE 300
WALNUT CREEK, CA 94597
Counselor (Professional)
2970 CAMINO DIABLO STE 300
WALNUT CREEK, CA 94597
Marriage & Family Therapist
2970 CAMINO DIABLO STE 300
WALNUT CREEK, CA 94597
Psychologist (Clinical)
2970 CAMINO DIABLO STE 300
WALNUT CREEK, CA 94597
Nurse Practitioner (Psychiatric/Mental Health)
2970 CAMINO DIABLO STE 300
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 with taxonomy code 103T00000X.

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.

When was this NPI record last updated?

The NPPES record for Mark Fry was last updated on July 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.