Active NPI
Chaya Bracha Fridman, PH.D.
- Clinical Neuropsychologist
- New York, NY
National Provider Identifier
1720348824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 019111-1
- Practice address
- 525 E 68TH St
Department of Psychiatry
New York, NY 10065 - Phone
- (212) 746-4666
- NPI assigned
- May 22, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 019111-1 | NY | Primary |
Addresses
Primary practice location
525 E 68TH St
Department of Psychiatry
New York, NY 10065
Mailing address
525 East 68TH Street
Department of Psychiatry
New York, NY 10065
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019111-1 | NY | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Past | Accepting new patients |
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": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1720348824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 EAST 68TH STREET",
"address_2": "DEPARTMENT OF PSYCHIATRY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 68TH ST",
"address_2": "DEPARTMENT OF PSYCHIATRY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10065",
"telephone_number": "212-746-4666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIDMAN",
"first_name": "CHAYA",
"middle_name": "BRACHA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-22",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "019111-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.