Active NPI
Thomas Fried, ED.D
- Psychologist
- Washington, DC
National Provider Identifier
1356899066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY1001150
- Practice address
- 1100 Vermont Ave NW
520
Washington, DC 20005-6327 - Phone
- (240) 670-8367
- Fax
- (877) 637-7491
- NPI assigned
- Sep 12, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY1001150 | PA | Primary |
Addresses
Primary practice location
1100 Vermont Ave NW
520
Washington, DC 20005-6327
Mailing address
PO Box 73188
Washington, DC 20056-3188
Phone (202) 341-0500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1001150 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1356899066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73188",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200563188",
"telephone_number": "202-341-0500",
"fax_number": "877-637-7491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 VERMONT AVE NW",
"address_2": "520",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200056327",
"telephone_number": "240-670-8367",
"fax_number": "877-637-7491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIED",
"first_name": "THOMAS",
"credential": "ED.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PSY1001150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.