Individual provider Active NPI

Norman Friberg, AMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1205316445
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
103899 Issued in CA
Practice address
3767 Central Ave
San Diego, CA 92105-2599
Phone
(619) 584-4010
NPI assigned
Aug 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 103899 CA Primary

Addresses

Primary practice location

3767 Central Ave
San Diego, CA 92105-2599

Mailing address

4200 Texas St Apt 109
San Diego, CA 92104-2697
Phone (619) 321-7023

Other identifiers 1

IdentifierTypeStateIssuer
103899OtherCABOARD OF BEHAVIOR SCIENCES (BBS)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103899CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stone San Diego PastSince Aug 8, 2021 Accepting new patients
Stepping Stone of San Diego, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1205316445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 TEXAS ST APT 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042697",
            "telephone_number": "619-321-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3767 CENTRAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921052599",
            "telephone_number": "619-584-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIBERG",
        "first_name": "NORMAN",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIOR SCIENCES (BBS)",
            "identifier": "103899",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.