Marla W Friedman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071004275 Issued in IL

Practice address

1350 Remington Rd Ste M
Schaumburg, IL 60173-4822

Phone

(630) 510-3966

Fax

(630) 708-0976

NPI assigned

Nov 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 25, 2023 through Sep 25, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1124356704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 REMINGTON RD STE M",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734822",
            "telephone_number": "630-510-3966",
            "fax_number": "630-708-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 REMINGTON RD STE M",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734822",
            "telephone_number": "630-510-3966",
            "fax_number": "630-708-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "MARLA",
        "middle_name": "W",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071---4275",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Megan Frederick, ATC
• Michael Benjamin Freedman, MD
• Elise Freemon
• Maria P Freitas, DDS
• Fresenius Medical Care Schaumburg, LLC
• Carol Friis
• Jenna Froehlich
• Claire Marie Froehlicher
• Madison Frugoli, RBT
• Monica J. Fudala, M.D.

• Clinical Psychologist in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.