Individual provider Active NPI

Jaime Lea Moldovan Friedman, PSY.D.

  • Psychologist
  • Huntingdon Valley, PA
National Provider Identifier
1902350796
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017395 Issued in PA
Practice address
1840 County Line Rd
Suite 212
Huntingdon Valley, PA 19006-1717
Phone
(267) 388-0670
NPI assigned
Aug 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS017395 PA Primary

Addresses

Primary practice location

1840 County Line Rd
Suite 212
Huntingdon Valley, PA 19006-1717

Mailing address

1840 County Line Rd
Suite 212
Huntingdon Valley, PA 19006-1717
Phone (267) 388-0670

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

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1902350796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 COUNTY LINE RD",
            "address_2": "SUITE 212",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061717",
            "telephone_number": "267-388-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 COUNTY LINE RD",
            "address_2": "SUITE 212",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061717",
            "telephone_number": "267-388-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDOVAN FRIEDMAN",
        "first_name": "JAIME",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.