Active NPI
Kim Liponis Foehl, M.D.
- Psychiatry Physician
- Cambridge, MA
National Provider Identifier
1548214026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 54787
- Practice address
- 3 Concord Ave Apt 5
Cambridge, MA 02138-3616 - Phone
- (617) 795-5996
- NPI assigned
- May 20, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 54787 | MA | Primary |
Addresses
Primary practice location
3 Concord Ave Apt 5
Cambridge, MA 02138-3616
Mailing address
458 Huron Ave
Cambridge, MA 02138-2127
Phone (617) 795-5996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 12, 2025 through May 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54787 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1548214026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "458 HURON AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021382127",
"telephone_number": "617-795-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CONCORD AVE APT 5",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021383616",
"telephone_number": "617-795-5996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOEHL",
"first_name": "KIM",
"middle_name": "LIPONIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "54787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.