Michelle S. Friedman-Yakoobian, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8634 Issued in MA

Practice address

75 Fenwood Rd
Massachusetts Mental Health Ctr 5TH Floor
Boston, MA 02115-6103

Phone

(617) 754-1210

Fax

(617) 754-1250

NPI assigned

Jun 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Brookline Community Mental Health Center Inc.

  • Community/Behavioral Health Agency
  • Brookline, MA
  • NPI 1881610244
  Medicare reassignment NPD

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1376745190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FENWOOD RD",
            "address_2": "MASSACHUSETTS MENTAL HEALTH CTR 5TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156103",
            "telephone_number": "617-754-1210",
            "fax_number": "617-754-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FENWOOD RD",
            "address_2": "MASSACHUSETTS MENTAL HEALTH CTR 5TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156103",
            "telephone_number": "617-754-1210",
            "fax_number": "617-754-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN-YAKOOBIAN",
        "first_name": "MICHELLE",
        "middle_name": "S.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuri Friedlander
• Robert J Friedlander Jr., MD
• Madison Kay Friedle, PA
• Tal Friedman Korn, MD
• Julie L. Friedman-Weieneth, PH.D
• Adam A. L. Friedman, M.D., PH.D.
• Alexander Jarett Friedman
• Corey Friedman
• Daniel Max Friedman, MD
• Danielle Friedman, NP

• Clinical Psychologist in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.