Dr Michelle L Friedman LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DR MICHELLE L FRIEDMAN LLC

Practice address

3210 Hatton Rd
Baltimore, MD 21208-4515

Phone

(518) 253-9289

NPI assigned

Sep 12, 2018

Last updated

Aug 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Friedman, PH DNPI 1821169558

Title

Executive Officer

Phone

(518) 253-9289

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle L Friedman, PHD

  • Clinical Psychologist
  • Baltimore, MD
  • NPI 1821169558
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1760965040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 HATTON RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212084515",
            "telephone_number": "518-253-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 HATTON RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212084515",
            "telephone_number": "518-253-9289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Sulgrave Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212093650",
            "country_code": "US",
            "telephone_number": "518-253-9289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR MICHELLE L FRIEDMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "518-253-9289",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.