Marilyn Ruth Friesen, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY8986 Issued in CA

Practice address

3111 Camino del Rio N
Ste 400
San Diego, CA 92108-5720

Phone

(619) 641-7090

Fax

(619) 463-2463

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699876540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 N ROGERS RD",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919771222",
            "telephone_number": "619-641-7090",
            "fax_number": "619-463-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 CAMINO DEL RIO N",
            "address_2": "STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085720",
            "telephone_number": "619-641-7090",
            "fax_number": "619-463-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESEN",
        "first_name": "MARILYN",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY8986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PMOO8986",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Michael Friend
• Jessica Friend
• Yunhee Choi Friend, L.AC,PH.D
• Joyce Marie Fries, OTR/L
• Hannah Friesen
• Tzyynong Liou Friesen, M.D.
• Sarah Friess
• Raymond R Fripp, MD
• Robert Franklin Frisby Jr., D.D.S.
• Rachel Frishman, M.A., CCC/SLP

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.