Individual provider Active NPI

Kathleen Margaret Friel, PSYD

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1689189169
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0011399 Issued in CO
Practice address
63 Raven Hills CT
Colorado Springs, CO 80919-1315
Phone
(719) 237-4979
NPI assigned
Dec 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0011399 CO Primary

Addresses

Primary practice location

63 Raven Hills CT
Colorado Springs, CO 80919-1315

Mailing address

63 Raven Hills CT
Colorado Springs, CO 80919-1315
Phone (719) 237-4979

Other practice location 1

2808 Traylor Blvd
Rockport, TX 78382-6897
Phone (719) 237-4979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0011399COMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689189169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 RAVEN HILLS CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191315",
            "telephone_number": "719-237-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 RAVEN HILLS CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191315",
            "telephone_number": "719-237-4979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2808 Traylor Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "TX",
            "postal_code": "783826897",
            "country_code": "US",
            "telephone_number": "719-237-4979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEL",
        "first_name": "KATHLEEN",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "0011399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.