Active NPI
Kathleen D Friend, M.D.
- Psychiatry Physician
- Lenox, MA
National Provider Identifier
1023056322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 225612
- Practice address
- 25 Franklin St
Lenox, MA 01240-2303 - Phone
- (413) 717-0902
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 225612 | MA | Primary |
Addresses
Primary practice location
25 Franklin St
Lenox, MA 01240-2303
Mailing address
PO Box 132
Lenox, MA 01240-0132
Phone (413) 728-8080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A3912301 | Other | MA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250924001784 | CO | Order and Referring Only - Psychiatry | 1355230087 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225612 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inglis Wellness Clinic PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Great Barrington, MA
- NPI 1821221268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382400000000",
"number": "1023056322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 132",
"city": "LENOX",
"state": "MA",
"postal_code": "012400132",
"telephone_number": "413-728-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 FRANKLIN ST",
"city": "LENOX",
"state": "MA",
"postal_code": "012402303",
"telephone_number": "413-717-0902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEND",
"first_name": "KATHLEEN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2013-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "225612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "A3912301",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lenox, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.