Victor I Friesen, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS002515L Issued in PA

Practice address

315 Yorktown Plaza
Elkins Park, PA 19027

Phone

(215) 938-0671

NPI assigned

Jun 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1053353565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 MANOR AVE",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "19046",
            "telephone_number": "215-938-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 YORKTOWN PLAZA",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "19027",
            "telephone_number": "215-938-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESEN",
        "first_name": "VICTOR",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS002515L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "680010801",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA",
            "identifier": "07337967",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01687636",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Beth Frank, R.D., L.D.N.
• Claude Fratamico, DMD
• J Lamar Freed, PSY.D
• Marsha J Friedman, PHD
• Renee Darcell Frierson-Briscoe, LPC, LMFT
• Lindsay Fruehauf
• Mark J Funt, DMD
• Erin Gaffney, OTD, OTR/L
• Carolyn Denise Galbally
• Joan H. Gallagher, LSW

• Psychologist in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.