Active NPI
Brian M. Freidenberg, PH.D.
- Psychologist
- Albany, NY
National Provider Identifier
1558759035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 68 017247
- Practice address
- 5 Pine West PLZ Ste 511
Albany, NY 12205-5587 - Phone
- (518) 257-6272
- NPI assigned
- Jan 6, 2015
- Last updated
- Jul 9, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 68 017247 | NY | Primary |
Addresses
Primary practice location
5 Pine West PLZ Ste 511
Albany, NY 12205-5587
Mailing address
5 Pine West PLZ Ste 511
Albany, NY 12205-5587
Phone (518) 257-6272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68 017247 | Other | NY | UNIVERSITY OF THE STATE OF NY EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68 017247 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1558759035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PINE WEST PLZ STE 511",
"city": "ALBANY",
"state": "NY",
"postal_code": "122055587",
"telephone_number": "518-257-6272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PINE WEST PLZ STE 511",
"city": "ALBANY",
"state": "NY",
"postal_code": "122055587",
"telephone_number": "518-257-6272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREIDENBERG",
"first_name": "BRIAN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-06",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "68 017247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY OF THE STATE OF NY EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS",
"identifier": "68 017247",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.