Active NPI
Kavanah
- Psychiatry Physician
- Denver, CO
National Provider Identifier
1063423283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 29005
- Legal business name
- KAVANAH
- Practice address
- 1660 S Albion St
Suite 309
Denver, CO 80222-4008 - Phone
- (303) 355-7783
- Fax
- (303) 355-7784
- NPI assigned
- Aug 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Barry Wayne Frieder, OVS MD
- Title
- Overseer
- Phone
- (303) 355-7783
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 29005 | CO | Primary |
Addresses
Primary practice location
1660 S Albion St
Suite 309
Denver, CO 80222-4008
Mailing address
Kavanah C/O Non-Domestic
820 S Monaco Pkwy, #293
Denver, CO 80224
Phone (303) 355-7783
National Provider Directory
National Provider DirectoryLocations
820 S Monaco Pkwy
#293
Denver, CO 80224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1063423283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KAVANAH C/O NON-DOMESTIC",
"address_2": "820 S MONACO PKWY, #293",
"city": "DENVER",
"state": "CO",
"postal_code": "80224",
"telephone_number": "303-355-7783",
"fax_number": "303-355-7784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 S ALBION ST",
"address_2": "SUITE 309",
"city": "DENVER",
"state": "CO",
"postal_code": "802224008",
"telephone_number": "303-355-7783",
"fax_number": "303-355-7784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAVANAH",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-11",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "FRIEDER",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "OVERSEER",
"authorized_official_telephone_number": "303-355-7783",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OVS MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "29005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.