Organization Active NPI

Marla W. Friedman P.C.

  • Clinical Psychologist
  • Wheaton, IL
National Provider Identifier
1558579169
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-004275 Issued in IL
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

Updated by the provider on Jun 8, 2018

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.