Individual provider Active NPI

Michelle L Friedman, PHD

  • Clinical Psychologist
  • Baltimore, MD
National Provider Identifier
1821169558
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
05359 Issued in MD
Practice address
3210 Hatton Rd
Baltimore, MD 21208-4515
Phone
(518) 253-9289
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 05359 MD
Psychologist 103T00000X 016822 NY
Clinical Psychologist 103TC0700X 05359 MD Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 0810004875 VA

Addresses

Primary practice location

3210 Hatton Rd
Baltimore, MD 21208-4515

Mailing address

3210 Hatton Rd
Baltimore, MD 21208-4515
Phone (518) 253-9289

Other practice location 1

1501 Sulgrave Ave Ste 202
Baltimore, MD 21209
Phone (518) 253-9289

Other practice location 2

11325 Random Hills Rd Ste 360
Fairfax, VA 22030-0972
Phone (703) 691-1326

Other identifiers 3

IdentifierTypeStateIssuer
000412172001OtherBSNENY
608065MedicaidMD
00016822MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150316000950 MD Practitioner - Clinical Psychologist 2668426867 Reassigns benefits to 1 organization
I20251230002867 DC Practitioner - Clinical Psychologist 2668426867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3210 Hatton Rd
Baltimore, MD 21208-4515
Phone (518) 253-9289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810004875VAMDClinical Psychologist
05359MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Psychology Services PC Clinical CurrentSince Oct 1, 2025 Accepting new patients
Dr Michelle L Friedman LLC Psychologist CurrentSince Sep 1, 2018 Accepting new patients
Levi Y. Breuer, Psy.D. Past Accepting new patients
Julie a Murphy PHD LLC Clinical PastSince Jan 1, 2021 Accepting new patients
Roman Catholic Diocese of Albany Ny Clinical PastSince Jan 1, 1994 Accepting new patients

Locations

1501 Sulgrave Ave
Ste 202
Baltimore, MD 21209
Phone (410) 881-2106

11325 Random Hills Rd
Ste 360
Fairfax, VA 22030
Phone (703) 691-1326

Organizations & group practices 5

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1821169558",
    "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": "21209",
            "country_code": "US",
            "telephone_number": "518-253-9289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11325 Random Hills Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220300972",
            "country_code": "US",
            "telephone_number": "703-691-1326",
            "fax_number": "703-691-3553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05359",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016822",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05359",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004875",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "000412172001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "608065",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00016822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.