Individual provider Active NPI

Cheryl Friedman, PSY.D.

  • Psychoanalyst
  • Laguna Hills, CA
National Provider Identifier
1003196544
Registry record updated Aug 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
RP 213 Issued in CA
Practice address
23046 Avenida de la Carlota
Suite 648
Laguna Hills, CA 92653-1548
Phone
(949) 588-5778
Fax
(949) 588-5774
NPI assigned
Aug 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X RP 213 CA Primary

Addresses

Primary practice location

23046 Avenida de la Carlota
Suite 648
Laguna Hills, CA 92653-1548

Mailing address

23046 Avenida de la Carlota
Suite 648
Laguna Hills, CA 92653-1548
Phone (949) 588-5778

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RP 213CAMDPsychoanalyst

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314403200000",
    "number": "1003196544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23046 AVENIDA DE LA CARLOTA",
            "address_2": "SUITE 648",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531548",
            "telephone_number": "949-588-5778",
            "fax_number": "949-588-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23046 AVENIDA DE LA CARLOTA",
            "address_2": "SUITE 648",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531548",
            "telephone_number": "949-588-5778",
            "fax_number": "949-588-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-27",
        "last_updated": "2011-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "RP 213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.