Amy Susan Friday, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

12246 Issued in OR

Practice address

14780 SW Osprey Dr.
#285
Beaverton, OR 97007

Phone

(503) 308-4251

Fax

(503) 591-8628

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Opal Institute LLCGroup PAC ID 4587844014, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Opal Institute LLC

  • Clinical Neuropsychologist
  • Beaverton, OR
  • NPI 1639472319
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1013084300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 SW OSPREY DR. #285",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97007",
            "telephone_number": "503-308-4251",
            "fax_number": "503-591-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14780 SW OSPREY DR.",
            "address_2": "#285",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97007",
            "telephone_number": "503-308-4251",
            "fax_number": "503-591-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDAY",
        "first_name": "AMY",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OR",
            "license": "12246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Freeman
• Michael Wayne Freier
• Daniel Earl French, D.M.D.
• Fresenius Medical Care West Portland Dialysis Services, LLC
• Fresenius Medical Care West Portland Dialysis Services, LLC
• Thomas Alan Frillman, CADC III
• Chloe Soleil Frisella Kunst
• Holly Fritts
• Jason Deal Fritz
• Linda Marie Froemming

• Clinical Neuropsychologist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Clinical Neuropsychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.