Individual provider Active NPI

Patti Perlman Friedman, PSYD

  • Clinical Psychologist
  • Baltimore, MD
National Provider Identifier
1063552941
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
02709 Issued in MD
Practice address
8 Reservoir Circle
Suite 103 the Executive Center
Baltimore, MD 21208-6362
Phone
(410) 602-1690
Fax
(410) 602-1692
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 02709 MD Primary

Addresses

Primary practice location

8 Reservoir Circle
Suite 103 the Executive Center
Baltimore, MD 21208-6362

Mailing address

8 Reservoir Circle
Suite 103 the Executive Center
Baltimore, MD 21208-6362
Phone (410) 602-1690

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063552941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 RESERVOIR CIRCLE",
            "address_2": "SUITE 103 THE EXECUTIVE CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086362",
            "telephone_number": "410-602-1690",
            "fax_number": "410-602-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RESERVOIR CIRCLE",
            "address_2": "SUITE 103 THE EXECUTIVE CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086362",
            "telephone_number": "410-602-1690",
            "fax_number": "410-602-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "PATTI",
        "middle_name": "PERLMAN",
        "name_prefix": "Ms.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "02709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.