Individual provider Active NPI

Joshua H. Friedman, PSY.D.

  • Psychologist
  • Omaha, NE
National Provider Identifier
1366595209
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
651 Issued in NE
Practice address
6107 Maple St Ste B
Omaha, NE 68104-4001
Phone
(402) 933-1700
Fax
(866) 615-3670
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 651 NE Primary

Addresses

Primary practice location

6107 Maple St Ste B
Omaha, NE 68104-4001

Mailing address

6107 Maple St Ste B
Omaha, NE 68104-4001
Phone (402) 933-1700

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20091104000032 NE Practitioner - Clinical Psychologist 4183762636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
New York University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6107 Maple St
Suite B
Omaha, NE 68104-4001
Phone (402) 933-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
651NEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Joshua Friedman Psychologist CurrentSince Jun 1, 2014 Accepting new patients
Sterling Medical Associates Past Accepting new patients
Sterling Adult Day Services Past Accepting new patients

Locations

6107 Maple St
Ste B
Omaha, NE 68104
Phone (402) 810-5589

Organizations & group practices 3

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1366595209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 MAPLE ST STE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681044001",
            "telephone_number": "402-933-1700",
            "fax_number": "866-615-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 MAPLE ST STE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681044001",
            "telephone_number": "402-933-1700",
            "fax_number": "866-615-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JOSHUA",
        "middle_name": "H.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-09-11",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.