Larry M Friedberg, PHD LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

LARRY M FRIEDBERG, PHD LLC

Practice address

31600 Telegraph Rd Ste 250
Bingham Farms, MI 48025-4372

Phone

(248) 965-9532

Fax

(248) 671-3203

NPI assigned

Dec 30, 2019

Organization subpart

No

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

Authorized official

Name

Larry M Friedberg, PH.D.

Title

Psychologist

Phone

(248) 965-9532

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1386283901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31600 TELEGRAPH RD STE 250",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254372",
            "telephone_number": "248-965-9532",
            "fax_number": "248-671-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31600 TELEGRAPH RD STE 250",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254372",
            "telephone_number": "248-965-9532",
            "fax_number": "248-671-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY M FRIEDBERG, PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "FRIEDBERG",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-965-9532",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keesha Lane
• Kaylan Annette Lang Ray
• Gail Lapointe, CRNA
• Audrey Raye Laport
• Larry Degroat,D.D.S.,P.C.
• Lea Lasak
• Acyre Lathon
• Marisa Leigh Lawrence
• Christyne Ella Lawson, M.D.
• Tiffany Nichole Lawson

• Adolescent and Children Mental Health Clinic/Center in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Adolescent and Children Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.