Ilana Sara Friedman, PH. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5605 Issued in NY

Practice address

56 Cambridge Rd
Great Neck, NY 11023-1555

Phone

(516) 773-4876

Fax

(516) 482-0716

NPI assigned

Jul 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1710141338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CAMBRIDGE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231555",
            "telephone_number": "516-773-4876",
            "fax_number": "516-482-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CAMBRIDGE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231555",
            "telephone_number": "516-773-4876",
            "fax_number": "516-482-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "ILANA",
        "middle_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-13",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "5605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE PIN",
            "identifier": "39433",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00913222",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Fried, M.D.
• Jack Fried, O.D.
• Maxine Helen Fried, MD
• Steven M. Fried, M.D.
• Staci Beth Friedman-Weiner, PSY.D.
• Michael Friedman
• Regina Friedman, RN
• Seth G Friedman, MD
• Marta Frigeni, M.D.
• Ilene Frischer

• Clinical Psychologist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.