Organization Active NPI

Kavanah

  • Psychiatry Physician
  • Denver, CO
National Provider Identifier
1063423283
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
29005 Issued in CO
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.