Active NPI
Michelle L Friedman, PHD
- Clinical Psychologist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 05359
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 05359 | MD | |
| Psychologist | 103T00000X | 016822 | NY | |
| Clinical Psychologist | 103TC0700X | 05359 | MD | Primary |
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000412172001 | Other | BSNENY | |
| 608065 | Medicaid | MD | |
| 00016822 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0810004875 | VA | MD | Clinical Psychologist |
| 05359 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Psychology Services PC | Clinical | Current | Accepting new patients |
| Dr Michelle L Friedman LLC | Psychologist | Current | Accepting new patients |
| Levi Y. Breuer, Psy.D. | Past | Accepting new patients | |
| Julie a Murphy PHD LLC | Clinical | Past | Accepting new patients |
| Roman Catholic Diocese of Albany Ny | Clinical | Past | 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.
-
- Psychologist
- Baltimore, MD
- NPI 1760965040
-
- Clinical Psychologist
- Kensington, MD
- NPI 1740878933
-
- Community/Behavioral Health Agency
- Columbia, MD
- NPI 1083901128
-
- Clinical Psychologist
- Albany, NY
- NPI 1457421919
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.