KIWI RECOVERY, LLC
NPI 1699656595
Clinic/Center - Adolescent and Children Mental Health in Brookline, MA
- Organization
- Clinic/Center
- Adolescent and Children Mental Health
- CLIA Number: 22D2285223
- CLIA Cert. Type: Other - SUB ABUSE/BEH HEALTH
- CLIA Exp. Date: 07-09-2027
About KIWI RECOVERY, LLC
This page provides the complete NPI Profile along with additional information for Kiwi Recovery, Llc, a provider established in Brookline, Massachusetts operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1699656595 assigned on September 2025. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Abraham Fried (Ceo)
- NPI
- 1699656595 Verify this NPI
- Provider Name
- KIWI RECOVERY, LLC
- Entity Type
- Organization
- Location Address
- 77 POND AVE APT 205C BROOKLINE, MA 02445
- Location Phone
- (617) 676-9847
- Mailing Address
- 77 POND AVE APT 205C BROOKLINE, MA 02445
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-09-2025
- Last Update Date
- 09-09-2025
- Code Navigator
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
Clinic/Center Adolescent and Children Mental Health
- Taxonomy Code
- 261QM0855X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D2285223
- Facility Type
- Other - SUB ABUSE/BEH HEALTH
- Certificate Effective Date
- July 10, 2025
- Certificate Expiration Date
- July 09, 2027
- Laboratory Director
- BRENNA FICHTER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kiwi Recovery, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699656595, enumerated as an "organization" on September 09, 2025.
The provider is located at 77 POND AVE APT 205C BROOKLINE, MA 02445 and the phone number is (617) 676-9847.
Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.
