Active NPI
Julie A Friedman, PH.D.
- Clinical Psychologist
- Duluth, GA
National Provider Identifier
1427117969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY001496
- Practice address
- 3675 Crestwood Pkwy NW
Suite 550
Duluth, GA 30096-1805 - Phone
- (770) 923-4100
- Fax
- (770) 923-2277
- NPI assigned
- Dec 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY001496 | GA | Primary |
Addresses
Primary practice location
3675 Crestwood Pkwy NW
Suite 550
Duluth, GA 30096-1805
Mailing address
3675 Crestwood Pkwy NW
Suite 550
Duluth, GA 30096-1805
Phone (770) 923-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150803000467 | GA | Practitioner - Psychologist Billing Independently | 0345554481 | Practice locations: Duluth, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Georgetown University School of Medicine, 1990
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3675 Crestwood Nwpkwy
Suite 550
Duluth, GA 30096-1803
Phone (770) 923-4100
3675 Crestwood Pkwy
Suite 550
Duluth, GA 30096-1803
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY001496 | GA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427117969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3675 CRESTWOOD PKWY NW",
"address_2": "SUITE 550",
"city": "DULUTH",
"state": "GA",
"postal_code": "300961805",
"telephone_number": "770-923-4100",
"fax_number": "770-923-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3675 CRESTWOOD PKWY NW",
"address_2": "SUITE 550",
"city": "DULUTH",
"state": "GA",
"postal_code": "300961805",
"telephone_number": "770-923-4100",
"fax_number": "770-923-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "JULIE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY001496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
- Hannah Freehof, MED, BCBA
- Jonet Freeman
- Pamela D Freeman, FNP-C
- Fresenius Medical Care Berkeley Lake, LLC (Fresenius Medical Care Berkeley Lake)
- Pamela Jean Frey, PT
- Robert C Fritz, M.D.
- Deborah M. Fry, LPC
- George William Fryhofer IV, MD
- Functional Communication Foundations LLC (HomeTele SLP)
- Christopher Denning Furter
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.