Fredrick P. Frieden, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810001061 Issued in VA

Practice address

12695 McManus Blvd.
BLDG 8
Newport News, VA 23602-4442

Phone

(757) 877-7700

Fax

(757) 872-7211

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clinical Associates of TidewaterGroup PAC ID 4981688744, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Clinical Associates of Tidewater

  • Social Worker
  • Newport News, VA
  • NPI 1447341615
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1316035975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12695 MCMANUS BLVD.",
            "address_2": "BLDG 8",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024442",
            "telephone_number": "757-877-7700",
            "fax_number": "757-872-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12695 MCMANUS BLVD.",
            "address_2": "BLDG 8",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024442",
            "telephone_number": "757-877-7700",
            "fax_number": "757-872-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDEN",
        "first_name": "FREDRICK",
        "middle_name": "P.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77 36 68 1",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rudolph Freeman Jr., M.D.
• Tamara Lynn Freeman, PH.D., CCC-SLP
• Christina Freeze, FNP
• Shelley Freidank, CRNA
• Elise M French, NP
• Clarence W Friend Jr., M.D.
• Friends Health Care Team Newport News LLC
• Jazsel Zabarte Frijas
• Melissa Lynn Fritz, DPT
• Virginia Grey Fritz

• Clinical Psychologist in Newport News, VA
• Providers in Newport News, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.