Elizabeth Fried, PH.D., BCBA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

012367-1 Issued in NY

Practice address

4300 Hylan Blvd
Lower Level
Staten Island, NY 10312-6505

Phone

(718) 605-0642

Fax

(718) 984-9620

NPI assigned

Dec 11, 2008

Last updated

Dec 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1629213251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 TYLER AVE APT 2204",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302965",
            "telephone_number": "732-596-1496",
            "fax_number": "877-645-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 HYLAN BLVD",
            "address_2": "LOWER LEVEL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126505",
            "telephone_number": "718-605-0642",
            "fax_number": "718-984-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012367-1",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-06-2803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Frenkel, M.D.
• Lauren Frenkel
• Shani Frenkel, MS
• Anna Freyman
• Arianna Carmen Freyre, NP
• Mindy Fried, CD(DONA)
• Stacey Michele Fried, L.C.S.W
• Harriet Friedman-Wilson, MS
• Adina C. Friedman, OTR/L
• Alan Harris Friedman, MD

• Psychologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.