Active NPI
Daniel J. Friedenson, M.D
- Psychiatry Physician
- Amherst, MA
National Provider Identifier
1730189465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 40947
- Practice address
- 31 Hall Dr
Amherst Medical Center
Amherst, MA 01002-2751 - Phone
- (413) 256-8561
- Fax
- (413) 256-4412
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 40947 | MA | Primary |
Addresses
Primary practice location
31 Hall Dr
Amherst Medical Center
Amherst, MA 01002-2751
Mailing address
PO Box 8019
Valley Medical Group, PC
Springfield, MA 01102-8000
Phone (866) 431-4077
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040947 | Other | MA | TUFTS |
| 1293387 | Other | MA | FALLON |
| 4245771 | Other | MA | AETNA BH |
| N51675 | Other | MA | BLUE CROSS & BLUE SHIELD |
| 2053535 | Medicaid | MA | |
| 2034132 | Other | MA | CIGNA BH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40947 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group, P.C. | Past | Accepting new patients |
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.
-
- Durable Medical Equipment & Medical Supplies
- Easthampton, MA
- NPI 1982738118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1730189465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8019",
"address_2": "VALLEY MEDICAL GROUP, PC",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011028000",
"telephone_number": "866-431-4077",
"fax_number": "413-774-7448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 HALL DR",
"address_2": "AMHERST MEDICAL CENTER",
"city": "AMHERST",
"state": "MA",
"postal_code": "010022751",
"telephone_number": "413-256-8561",
"fax_number": "413-256-4412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDENSON",
"first_name": "DANIEL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "40947",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "040947",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "1293387",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BH",
"identifier": "4245771",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "N51675",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2053535",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BH",
"identifier": "2034132",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.