Individual provider Active NPI

Howard Philip Friedman, M.D.

  • Psychiatry Physician
  • Birmingham, MI
National Provider Identifier
1790716157
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301027649 Issued in MI
Practice address
380 N. Old Woodward Ave.
Suite 156
Birmingham, MI 48009-5307
Phone
(248) 644-2232
Fax
(248) 851-2855
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301027649 MI Primary

Addresses

Primary practice location

380 N. Old Woodward Ave.
Suite 156
Birmingham, MI 48009-5307

Mailing address

380 N. Old Woodward Ave.
Suite 156
Birmingham, MI 48009-5307
Phone (248) 644-2232

Other identifiers 1

IdentifierTypeStateIssuer
1404122MedicaidMI

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 Medicine

State licenses

LicenseStateTypeSpecialty
4301027649MIMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790716157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 N. OLD WOODWARD AVE.",
            "address_2": "SUITE 156",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480095307",
            "telephone_number": "248-644-2232",
            "fax_number": "248-851-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N. OLD WOODWARD AVE.",
            "address_2": "SUITE 156",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480095307",
            "telephone_number": "248-644-2232",
            "fax_number": "248-851-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "HOWARD",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301027649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1404122",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • 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.