Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Frederiks

Individual provider Psychiatry Physician · NPI 1508790072

Kevin Frederiks is a Psychiatry Physician in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2026.

Licensed in
MA
In the registry since
2026

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 726-9550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 3020943 (MA)

Record details

NPI number1508790072
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 10, 2026
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

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