Individual provider Active NPI

Rachel Eva Friedman, PSY.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1689323354
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
024640 Issued in NY
Practice address
5 E 16TH St FL 6
New York, NY 10003-3112
Phone
(646) 653-0933
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 024640 NY Primary

Addresses

Primary practice location

5 E 16TH St FL 6
New York, NY 10003-3112

Mailing address

5 E 16TH St FL 6
New York, NY 10003-3112
Phone (646) 653-0933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 3, 2022 through Mar 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
024640NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Cognitive Behavioral Therapy Psychological Services, PLLC CurrentSince Mar 27, 2022 Accepting new patients

Locations

5 E 16th St
Fl 6
New York, NY 10003
Phone (646) 653-0933

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1689323354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E 16TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033112",
            "telephone_number": "646-653-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E 16TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033112",
            "telephone_number": "646-653-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "RACHEL",
        "middle_name": "EVA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.