Active NPI
Linda Diane Friel, M.A.
- Clinical Psychologist
- Minneapolis, MN
National Provider Identifier
1255406153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP 0724
- Practice address
- 1409 Willow St
Suite 320
Minneapolis, MN 55403-2269 - Phone
- (651) 628-0220
- Fax
- (775) 828-4114
- NPI assigned
- Nov 24, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP 0724 | MN | Primary |
Addresses
Primary practice location
1409 Willow St
Suite 320
Minneapolis, MN 55403-2269
Mailing address
PO Box 120148
New Brighton, MN 55112-0013
Phone (651) 628-0220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP 0724 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255406153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 120148",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551120013",
"telephone_number": "651-628-0220",
"fax_number": "775-828-4114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 WILLOW ST",
"address_2": "SUITE 320",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554032269",
"telephone_number": "651-628-0220",
"fax_number": "775-828-4114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEL",
"first_name": "LINDA",
"middle_name": "DIANE",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP 0724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.