Individual provider Active NPI

Lisa Karen Catapano-Friedman, M.D.

  • Psychiatry Physician
  • Bennington, VT
National Provider Identifier
1619973690
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
8325 Issued in VT
Practice address
357 Shields Dr
Bennington, VT 05201-9810
Phone
(802) 442-3757
Fax
(802) 442-5199
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 8325 VT Primary

Addresses

Primary practice location

357 Shields Dr
Bennington, VT 05201-9810

Mailing address

357 Shields Dr
Bennington, VT 05201-9810
Phone (802) 442-3757

Other identifiers 1

IdentifierTypeStateIssuer
0VN0071MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050125000302 VT Practitioner - Psychiatry 8123078490 Reassigns benefits to 1 organization
Practice locations: Bennington, VT

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tufts University School of Medicine, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Memory Clinic IncGroup PAC ID 6709209109, 5 clinicians

Practice addresses (Care Compare)

357 Shields Dr
Bennington, VT 05201-9810
Phone (802) 447-1409

Hospital & facility affiliations

  • Southwestern Vermont Medical Center Hospital, Bennington, VT, CCN 470012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8325VTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memory Clinic, Inc. Psychiatry CurrentSince Mar 2, 2020 Accepting new patients

Locations

357 Shields Dr
Bennington, VT 05201
Phone (802) 442-3757

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1619973690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 SHIELDS DR",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052019810",
            "telephone_number": "802-442-3757",
            "fax_number": "802-442-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 SHIELDS DR",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052019810",
            "telephone_number": "802-442-3757",
            "fax_number": "802-442-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATAPANO-FRIEDMAN",
        "first_name": "LISA",
        "middle_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "8325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0071",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

Verify at the official NPI Registry.