Organization Active NPI

Howard J. Friedman, PHD., Abpp, Psychologist, Inc.

  • Clinical Psychologist
  • Walnut Creek, CA
National Provider Identifier
1285176503
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY7986 Issued in CA
Legal business name
HOWARD J. FRIEDMAN, PHD., ABPP, PSYCHOLOGIST, INC.
Practice address
1855 San Miguel Drive
Suite 23
Walnut Creek, CA 94596-5290
Phone
(925) 933-5594
Fax
(925) 933-0679
NPI assigned
Nov 17, 2016
Last updated
Nov 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Authorized official

Name
Mr. Howard J Friedman, PHDNPI 1578789780
Title
Owner
Phone
(925) 933-5594

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY7986 CA Primary

Addresses

Primary practice location

1855 San Miguel Drive
Suite 23
Walnut Creek, CA 94596-5290

Mailing address

1855 San Miguel Drive
Suite 23
Walnut Creek, CA 94596-5290
Phone (925) 933-5594

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170424002363 CA Part B Supplier - Clinic/Group Practice 6507142759 Receives reassigned benefits from 1 practitioner
Practice locations: Walnut Creek, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1285176503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 SAN MIGUEL DRIVE",
            "address_2": "SUITE 23",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965290",
            "telephone_number": "925-933-5594",
            "fax_number": "925-933-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 SAN MIGUEL DRIVE",
            "address_2": "SUITE 23",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965290",
            "telephone_number": "925-933-5594",
            "fax_number": "925-933-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD J. FRIEDMAN, PHD., ABPP, PSYCHOLOGIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-933-5594",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.