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Fredric Provenzano, PH.D.
NPI 1700932696 · Psychologist · Seattle, WA
Fredric Provenzano, PH.D. is a Psychologist provider in Seattle, WA (NPI 1700932696).
Provider details
- NPI number
- 1700932696
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1022 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5506 33rd Ave Ne
Suite D
Seattle, WA 98105-2317
Phone: (206) 361-2343
Fax: (206) 361-0353
Street-level locationGet directions
Mailing address
5506 33rd Ave Ne
Seattle, WA 98105-2317
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2007-07-08
Frequently asked questions
- What is Fredric Provenzano's NPI number?
- Fredric Provenzano's National Provider Identifier (NPI) is 1700932696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fredric Provenzano's specialty?
- Fredric Provenzano is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Fredric Provenzano located?
- Fredric Provenzano's practice location on file with NPPES is 5506 33rd Ave Ne, Seattle, WA 98105-2317.
- What is Fredric Provenzano's phone number?
- The practice phone number listed in the NPPES registry for Fredric Provenzano is (206) 361-2343.
- Is Fredric Provenzano's NPI active?
- Yes — Fredric Provenzano's NPI (1700932696) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.