Organization Active NPI

David Friedler, LMHC, LLC

  • Mental Health Counselor
  • Brookline, MA
National Provider Identifier
1639426299
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4891 Issued in MA
Legal business name
DAVID FRIEDLER, LMHC, LLC
Practice address
496 Harvard St. RM. 8
Brookline, MA 02446-2435
Phone
(617) 515-4418
Fax
(617) 344-0444
NPI assigned
Aug 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Mr. David J Friedler, MSNPI 1881779361
Title
Owner
Phone
(617) 515-4418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 4891 MA Primary

Addresses

Primary practice location

496 Harvard St. RM. 8
Brookline, MA 02446-2435

Mailing address

496 Harvard St. RM. 8
Brookline, MA 02446-2435
Phone (617) 515-4418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241015001448 MA Part B Supplier - Clinic/Group Practice 0446782585 Receives reassigned benefits from 1 practitioner
Practice locations: Jamaica Plain, MA

National Provider Directory

National Provider Directory

Locations

496 Harvard St
Rm 8
Brookline, MA 02446
Phone (617) 515-4418

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1639426299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 HARVARD ST. RM. 8",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462435",
            "telephone_number": "617-515-4418",
            "fax_number": "617-344-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 HARVARD ST. RM. 8",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462435",
            "telephone_number": "617-515-4418",
            "fax_number": "617-344-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID FRIEDLER, LMHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "FRIEDLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-515-4418",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.