Active NPI
Sara Elizabeth Fried, PSY.D.
- Clinical Psychologist
- Malvern, PA
National Provider Identifier
1780312652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS019655
- Practice address
- 2 Mystic LN
Malvern, PA 19355-1942 - Phone
- (610) 547-0883
- NPI assigned
- Aug 9, 2022
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS019655 | PA | Primary |
Addresses
Primary practice location
2 Mystic LN
Malvern, PA 19355-1942
Mailing address
228 Morgan St
Phoenixville, PA 19460-3528
Phone (610) 547-0883
Other practice location 1
928 Jaymor Rd Ste B-150
Southampton, PA 18966-3853
Phone (484) 455-4761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 27, 2023 through Jun 27, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS019655 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1780312652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 MORGAN ST",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194603528",
"telephone_number": "610-547-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MYSTIC LN",
"city": "MALVERN",
"state": "PA",
"postal_code": "193551942",
"telephone_number": "610-547-0883"
}
],
"practiceLocations": [
{
"address_1": "928 Jaymor Rd Ste B-150",
"address_purpose": "LOCATION",
"city": "Southampton",
"state": "PA",
"postal_code": "189663853",
"country_code": "US",
"telephone_number": "484-455-4761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIED",
"first_name": "SARA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-09",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS019655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.