Nadya Friedman
Individual provider Active NPI Psychiatry Physician · Clearlake, CA
NPI 1811048911 · NPPES record last updated Feb 14, 2022
Key facts
- NPI
- 1811048911
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- C155143 (CA)
- Practice address
- 15230 Lakeshore Dr
Clearlake, CA 95422-8107 - Phone
- (707) 995-4500
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- East Tennessee State University Quillen College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventist Health Clearlake Hospital Inc.
Practice addresses (Care Compare)
15630 18TH Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486
Hospital & facility affiliations
- Adventist Health Clearlake
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180629001301 | CA | Practitioner - Psychiatry | 2163508896 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C155143 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital of the Monterey Peninsula | Current |
Accepting new patients | |
| Adventist Health Clearlake Hospital Inc. | Current |
Accepting new patients | |
| Community Hospital of the Monterey Peninsula | Current |
Accepting new patients |
Locations
15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820
15230 Lakeshore Dr
Clearlake, CA 95422
Phone (707) 995-4500
576 Hartnell St
Ste 300
Monterey, CA 93940
Phone (831) 625-4600
23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708
576 Hartnell St
Monterey, CA 93940
Phone (831) 625-4600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 241466 | NY | |
| Psychiatry Physician | 2084P0800X | C155143 | CA | Yes |
Addresses
Primary practice location
15230 Lakeshore Dr
Clearlake, CA 95422-8107
Mailing address
15230 Lakeshore Dr
Clearlake, CA 95422-8107
Phone (707) 995-4500
Other providers in Clearlake, CA
- Angelic Julia Flores
- Yolanda Estella Flores
- Leslie Suzanne Frances
- Katherine Judith Freeman
- Mark J Freeman
- Lori Frinzell
- Jennifer Anne Frolich
- Wendy Fullam
- Rebecca Ann Furia
- Galen Inpatient Physicians, PC
All providers in Clearlake, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.