CHARLES T FRIES EDD PC
NPI 1831227909
Psychologist in Tyler, TX

Active since March 01, 2007
3800 PALUXY DR, SUITE 440, TYLER, TX 75703(903) 526-5550(903) 526-5551 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Charles T Fries Edd Pc NPPES

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

CHARLES T FRIES EDD PC (NPI 1831227909) is a healthcare organization registered as a psychologist in Tyler, Texas and active in the NPI registry since March 2007. The organization lists Charles T Fries, President Charles T Fries Edd Pc, as its authorized official.

NPPES Registry Identity

NPI1831227909
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameCHARLES T FRIES EDD PC
Location Address3800 PALUXY DR, SUITE 440Tyler, TX 75703
Mailing Address3800 Paluxy Dr, Suite 440Tyler, TX 75703 · (903) 526-5550 · Fax (903) 526-5551
Fax(903) 526-5551
Organization SubpartNo
Authorized OfficialCharles T FriesPresident Charles T Fries Edd Pc · (903) 526-5550
Enumeration DateMarch 1, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1831227909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in TX · 21305
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 19298 (TX), 17645 (TX)

Other Identifiers 2

Other84575LTX · Blue Cross Blue Shield Ju
Other81478PTX · Blue Cross Blue Shield Ch

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles T Fries Edd Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Charles T Fries Edd PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1003970625
3800 PALUXY DR SUITE 440
Tyler, TX 75703
(903) 526-5550
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Charles T Fries Edd PC's NPI number?

The NPI number for Charles T Fries Edd PC is 1831227909. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Charles T Fries Edd PC located?

Charles T Fries Edd PC is located at 3800 Paluxy Dr Suite 440, Tyler, TX 75703. The listed phone number is (903) 526-5550.

What is Charles T Fries Edd PC's specialty?

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

Is Charles T Fries Edd PC enrolled in Medicare?

Yes. Charles T Fries Edd PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charles T Fries Edd PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Charles T Fries Edd PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Charles T Fries Edd PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.