Organization Active NPI

Marvin Fredman, Inc.

  • Clinical Psychologist
  • Boca Raton, FL
National Provider Identifier
1306893938
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0002857 Issued in FL
Legal business name
MARVIN FREDMAN, INC.
Practice address
7000 W Palmetto Park Rd
Suite 220
Boca Raton, FL 33433-3424
Phone
(561) 417-0571
Fax
(561) 417-0579
NPI assigned
May 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marvin Fredman
Title
Licensed Psychologist
Phone
(561) 417-0571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY0002857 FL Primary

Addresses

Primary practice location

7000 W Palmetto Park Rd
Suite 220
Boca Raton, FL 33433-3424

Mailing address

7000 W Palmetto Park Rd
Suite 220
Boca Raton, FL 33433-3424
Phone (561) 417-0571

National Provider Directory

National Provider Directory

Locations

7000 W Palmetto Park Rd
Ste 220
Boca Raton, FL 33433
Phone (561) 417-0571

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306893938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 W PALMETTO PARK RD",
            "address_2": "SUITE 220",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333424",
            "telephone_number": "561-417-0571",
            "fax_number": "561-417-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W PALMETTO PARK RD",
            "address_2": "SUITE 220",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333424",
            "telephone_number": "561-417-0571",
            "fax_number": "561-417-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN FREDMAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREDMAN",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "561-417-0571",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0002857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.