DR. MICHELLE CAROL FRIED PHD
NPI 1487483954
Psychologist - Health in Northampton, MA
- Individual
- Female
- Psychologist
- Health
- Opted-Out Medicare
About MICHELLE FRIED
This page provides the complete NPI Profile along with additional information for Michelle Fried, a provider established in Northampton, Massachusetts with a medical specialization in Psychologist, focusing in health . The healthcare provider is registered in the NPI registry with number 1487483954 assigned on July 2024. The practitioner's primary taxonomy code is 103TH0004X with license number 10000795 (MA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1487483954 Verify this NPI
- Provider Name
- DR. MICHELLE CAROL FRIED PHD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 78 MAIN ST NORTHAMPTON, MA 01060
- Location Phone
- (850) 341-5461
- Mailing Address
- 78 MAIN ST NORTHAMPTON, MA 01060
- Mailing Phone
- (850) 341-5461
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-31-2024
- Last Update Date
- 07-31-2024
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Michelle Fried opted out of Medicare effective on 10-25-2024 until 10-25-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Health
- Taxonomy Code
- 103TH0004X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 10000795
- License State
- MA
- Taxonomy Description
- A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-25-2024
Opt-Out End Date: 10-25-2026
Eligible to Order and Refer? No
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Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
NORTHAMPTON, MA 01060
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487483954, enumerated as an "individual" on July 31, 2024.
The provider is located at 78 MAIN ST NORTHAMPTON, MA 01060 and the phone number is (850) 341-5461.
Psychologist with taxonomy code 103TH0004X and a focus in Health.
