Individual provider Active NPI

Andrew Friedman, PH.D

  • Counseling Psychologist
  • Lubbock, TX
National Provider Identifier
1407273907
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
36629 Issued in TX
Practice address
4401 6TH St Ste a
Lubbock, TX 79416-4700
Phone
(806) 742-3674
NPI assigned
Mar 21, 2014
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 36629 TX Primary

Addresses

Primary practice location

4401 6TH St Ste a
Lubbock, TX 79416-4700

Mailing address

4401 6TH St Ste a
Lubbock, TX 79416-4700
Phone (806) 793-7491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150414001119 TX Practitioner - Clinical Psychologist 8123346657 Reassigns benefits to 1 organization
Practice locations: Lubbock, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4401 6TH St a
Lubbock, TX 79416-4700
Phone (806) 793-7491

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.62 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock Regional MHMR Center CurrentSince Sep 1, 2025 Accepting new patients

Locations

1950 Aspen Ave
Lubbock, TX 79404
Phone (806) 740-1400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1407273907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 6TH ST STE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164700",
            "telephone_number": "806-793-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 6TH ST STE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164700",
            "telephone_number": "806-742-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-21",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "36629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.