Individual provider Active NPI

Nancy M. Friedman, MA, MFT

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1841417979
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 12615 Issued in CA
Practice address
631 Vernon St
Oakland, CA 94610-1419
Phone
(510) 653-1384
Fax
(510) 653-9021
NPI assigned
Apr 19, 2007
Sex
Female
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
Marriage & Family Therapist 106H00000X MFT 12615 CA Primary

Addresses

Primary practice location

631 Vernon St
Oakland, CA 94610-1419

Mailing address

631 Vernon St
Oakland, CA 94610-1419
Phone (510) 653-1384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 11, 2025 through Aug 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFT 12615CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841417979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 VERNON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101419",
            "telephone_number": "510-653-1384",
            "fax_number": "510-653-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 VERNON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101419",
            "telephone_number": "510-653-1384",
            "fax_number": "510-653-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "NANCY",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 12615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.