Active NPI
Ronna Fried, ED.D.
- Clinical Neuropsychologist
- Wellesley, MA
National Provider Identifier
1831117993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 4857
- Practice address
- 14 Mica LN
Suite 3
Wellesley, MA 02481-1773 - Phone
- (617) 724-0963
- Fax
- (617) 426-1990
- NPI assigned
- Jul 17, 2006
- 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 Neuropsychologist | 103G00000X | 4857 | MA | Primary |
Addresses
Primary practice location
14 Mica LN
Suite 3
Wellesley, MA 02481-1773
Mailing address
165 Tremont St
Unit 501
Boston, MA 02111-1152
Phone (617) 724-0963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W04664 | Other | MA | BLUE CROSS/BLUE SHIELD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Hospital Corp | Current | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
Interoperability endpoints
- fried.ronna.mgh@direct.partners.masshiway.net
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.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1831117993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 TREMONT ST",
"address_2": "UNIT 501",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111152",
"telephone_number": "617-724-0963",
"fax_number": "617-426-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 MICA LN",
"address_2": "SUITE 3",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024811773",
"telephone_number": "617-724-0963",
"fax_number": "617-426-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIED",
"first_name": "RONNA",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "4857",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "W04664",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.