NPIMap

Organization Active NPI

Behavioral Health Medical Group of Beverly Hills Inc.

  • Psychiatry Physician
  • Beverly Hills, CA
National Provider Identifier
1740280445
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
FNP24674 Issued in CA
Legal business name
BEHAVIORAL HEALTH MEDICAL GROUP OF BEVERLY HILLS INC.
Practice address
9171 Wilshire Boulevard
Suite 310
Beverly Hills, CA 90210-5516
Phone
(310) 274-4372
Fax
(310) 274-5146
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Barry D. Friedman, M.D.
Title
Medical Director / Psychiatrist
Phone
(310) 274-4372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X FNP24674 CA Primary

Addresses

Primary practice location

9171 Wilshire Boulevard
Suite 310
Beverly Hills, CA 90210-5516

Mailing address

9171 Wilshire Boulevard
Suite 310
Beverly Hills, CA 90210-5516
Phone (310) 274-4372

Other identifiers 2

IdentifierTypeStateIssuer
GR0082340MedicaidCA
CI6502OtherCARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

435 N Bedford Dr
Ste 112
Beverly Hills, CA 90210
Phone (310) 274-4372

9171 Wilshire Blvd
Ste 310
Beverly Hills, CA 90210
Phone (310) 274-4372

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1740280445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BOULEVARD",
            "address_2": "SUITE 310",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105516",
            "telephone_number": "310-274-4372",
            "fax_number": "310-274-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BOULEVARD",
            "address_2": "SUITE 310",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105516",
            "telephone_number": "310-274-4372",
            "fax_number": "310-274-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH MEDICAL GROUP OF BEVERLY HILLS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR / PSYCHIATRIST",
        "authorized_official_telephone_number": "310-274-4372",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "FNP24674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0082340",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI6502",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.