Karen Fried, PSY.D., BCBA-D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.008443 Issued in IL

Practice address

939 W North Ave
Suite 750
Chicago, IL 60642-7138

Phone

(312) 646-2113

Fax

(312) 646-2301

NPI assigned

Aug 15, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1265688782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 W. NORTH AVENUE",
            "address_2": "SUITE 750",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606427142",
            "telephone_number": "312-646-2113",
            "fax_number": "312-646-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 W NORTH AVE",
            "address_2": "SUITE 750",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606427138",
            "telephone_number": "312-646-2113",
            "fax_number": "312-646-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "PSY.D., BCBA-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-09-5502",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NY",
            "license": "0137751",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Jean Fridge Wilson, LBS1, ELEMENTAR ,ESL
• Stanislav Fridland
• Jennifer Friebel
• Stacy Lynn Friebus, MPT
• Alexander Mitchell Fried, DPM
• Kenneth Fried, DDS
• Samantha Fried, APN
• Young Sook Fried, PHARM.D.
• Samantha Morgan Friedberg
• Friedell Clinic, S. C.

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.