Active NPI
Antonia Catherine Fried, PSY.D.
- Clinical Psychologist
- Princeton, NJ
National Provider Identifier
1609989078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35S100361600
- Practice address
- 20 Nassau St
Suite 302
Princeton, NJ 08542-4509 - Phone
- (609) 876-9311
- Fax
- (609) 683-1873
- NPI assigned
- Aug 17, 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 | 35S100361600 | NJ | Primary |
Addresses
Primary practice location
20 Nassau St
Suite 302
Princeton, NJ 08542-4509
Mailing address
20 Nassau St
Suite 302
Princeton, NJ 08542-4509
Phone (609) 876-9311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100361600 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609989078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 NASSAU ST",
"address_2": "SUITE 302",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085424509",
"telephone_number": "609-876-9311",
"fax_number": "609-683-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 NASSAU ST",
"address_2": "SUITE 302",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085424509",
"telephone_number": "609-876-9311",
"fax_number": "609-683-1873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIED",
"first_name": "ANTONIA",
"middle_name": "CATHERINE",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35S100361600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, NJ
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.