Active NPI
Marla W. Friedman P.C.
- Clinical Psychologist
- Wheaton, IL
National Provider Identifier
1558579169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-004275
- Legal business name
- MARLA W. FRIEDMAN P.C.
- Practice address
- 301 W Roosevelt Rd Ste B2
Wheaton, IL 60187 - Phone
- (630) 510-3966
- Fax
- (630) 629-8048
- NPI assigned
- May 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marla W. Friedman, PSY.D.
- Title
- President
- Phone
- (630) 510-3966
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071-004275 | IL | Primary |
Addresses
Primary practice location
301 W Roosevelt Rd Ste B2
Wheaton, IL 60187
Mailing address
301 W Roosevelt Rd Ste B2
Wheaton, IL 60187-5053
Phone (630) 510-3966
National Provider Directory
National Provider DirectoryLocations
869 E Schaumburg Rd
Schaumburg, IL 60194
Phone (630) 510-3966
301 W Roosevelt Rd
Ste B2
Wheaton, IL 60187
Phone (630) 510-3966
417 W Roosevelt Rd
#10
Wheaton, IL 60187
Phone (630) 629-8046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528416000000",
"number": "1558579169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W ROOSEVELT RD STE B2",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875053",
"telephone_number": "630-510-3966",
"fax_number": "630-629-8048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W ROOSEVELT RD STE B2",
"city": "WHEATON",
"state": "IL",
"postal_code": "60187",
"telephone_number": "630-510-3966",
"fax_number": "630-629-8048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARLA W. FRIEDMAN P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2018-06-08",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "MARLA",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-510-3966",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-004275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.