Organization Active NPI

William P Friedenberg PHD

  • Psychologist
  • Daytona Beach, FL
National Provider Identifier
1053550103
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 2214 Issued in FL
Legal business name
WILLIAM P FRIEDENBERG PHD
Practice address
403 N Wild Olive Ave
Daytona Beach, FL 32118-3937
Phone
(386) 253-2531
Fax
(386) 253-6144
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Dr. William Paul Friedenberg, PH.D.
Title
President
Phone
(386) 253-2531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY 2214 FL Primary

Addresses

Primary practice location

403 N Wild Olive Ave
Daytona Beach, FL 32118-3937

Mailing address

403 N Wild Olive Ave
Daytona Beach, FL 32118-3937
Phone (386) 253-2531

Other names 1

  • Atlantic Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

403 N Wild Olive Ave
Daytona Beach, FL 32118
Phone (386) 235-2531

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1053550103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N WILD OLIVE AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321183937",
            "telephone_number": "386-253-2531",
            "fax_number": "386-253-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N WILD OLIVE AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321183937",
            "telephone_number": "386-253-2531",
            "fax_number": "386-253-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM P FRIEDENBERG PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "FRIEDENBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-253-2531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 2214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.