Organization Active NPI

Marsha J Friedman PHD LLC

  • Cognitive & Behavioral Psychologist
  • Jenkintown, PA
National Provider Identifier
1053998195
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
MARSHA J FRIEDMAN PHD LLC
Practice address
101 Greenwood Ave Ste 410
Jenkintown, PA 19046-2603
Phone
(215) 514-3464
NPI assigned
Mar 25, 2021
Last updated
Mar 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Marsha FriedmanNPI 1033272588
Title
Owner
Phone
(215) 514-3464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X Primary

Addresses

Primary practice location

101 Greenwood Ave Ste 410
Jenkintown, PA 19046-2603

Mailing address

101 Greenwood Ave Ste 410
Jenkintown, PA 19046-2603
Phone (215) 514-3464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210805002450 PA Part B Supplier - Clinic/Group Practice 9234533761 Receives reassigned benefits from 1 practitioner
Practice locations: Bala Cynwyd, PA; Elkins Park, PA

National Provider Directory

National Provider Directory

Locations

101 Greenwood Ave
Ste 410
Jenkintown, PA 19046
Phone (215) 514-3464

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1053998195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GREENWOOD AVE STE 410",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462603",
            "telephone_number": "215-514-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GREENWOOD AVE STE 410",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462603",
            "telephone_number": "215-514-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHA J FRIEDMAN PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-514-3464"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.