Active NPI
Lisa Karen Catapano-Friedman, M.D.
- Psychiatry Physician
- Bennington, VT
National Provider Identifier
1619973690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 8325
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0VN0071 | Medicaid | VT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Tufts University School of Medicine, 1977
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
357 Shields Dr
Bennington, VT 05201-9810
Phone (802) 447-1409
Hospital & facility affiliations
- Southwestern Vermont Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8325 | VT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memory Clinic, Inc. | Psychiatry | Current | 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.
-
- Behavioral Neurology & Neuropsychiatry Physician
- Bennington, VT
- NPI 1205359213
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bennington, VT
- NPI 1205865789
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.