LAURA L FREDENDALL (PSY.D.) – Clinical Psychologist, NPI 1881687820

LAURA L FREDENDALL (PSY.D.) is a healthcare provider. based in Terre haute, Indiana. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 20041684A (IN). The NPI Number for LAURA L FREDENDALL (PSY.D.) is 1881687820

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
LAURA L FREDENDALL (PSY.D.)
NPI
1881687820
Phone
(812) 235-6121
Address
2740 S 7TH ST
Enumeration Date
24 August 2005
Last Update Date
24 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122356121
Graduation Year
2000 (26 years ago)
PAC ID
6103015698
Group Practice PAC ID
3577611334
Professional Enrollment ID
I20110114000267
Address ID
IN478023559TE2740XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

450 CLINICAL PSYCHOLOGIST in IN

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Provider Addresses for LAURA L FREDENDALL (PSY.D.)

  • 2740, South 7th Street, Terre Haute, Vigo County, Indiana, 47802, United States

    PO BOX 2308

    TERRE HAUTE, IN 478023559

    Phone: (812) 235-6121

    Fax: (812) 235-4565

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110114000267IClinical PsychologistINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes28130$0
90837Psychotherapy, 1 hour24628$0
View full utilization report →

Insurance plans in this area (ZIP 47802)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577611334View full group profile
NameSpecialtyState
Clinical PsychologistIN
-IN
Clinical PsychologistIN
Clinical PsychologistIN
Clinical PsychologistIN
Clinical PsychologistIN
Mental Health CounselorIN
Clinical PsychologistIN

Reviews

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Frequently asked questions

What is the 10-digit NPI for LAURA L FREDENDALL (PSY.D.)?
LAURA L FREDENDALL (PSY.D.) — NPI 1881687820 — is the standard way to identify this listing.
Does the file indicate LAURA L FREDENDALL (PSY.D.) is practicing under active NPI?
Directory data currently reports LAURA L FREDENDALL (PSY.D.) as active.
What healthcare role does LAURA L FREDENDALL (PSY.D.) hold?
Scheduling teams often label LAURA L FREDENDALL (PSY.D.) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Does LAURA L FREDENDALL (PSY.D.) list a practice location?
Patients near Terre Haute, Indiana may find LAURA L FREDENDALL (PSY.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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