Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ronald James Frederick Jr., PHD

Individual provider Clinical Psychologist · NPI 1417957101

Dr. Ronald James Frederick Jr., PHD is a Clinical Psychologist in Los Angeles, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

6330 San Vicente Blvd Ste 510
Los Angeles, CA 90048-5455
Phone: (310) 275-5075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY24089 (CA)

Record details

NPI number1417957101
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESJuly 13, 2026
Certification dateApril 22, 2026

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