Active NPI
Andrea Lynn Friedman, PH.D.
- Clinical Psychologist
- Tampa, FL
National Provider Identifier
1902810153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY6274
- Practice address
- 12169 W Linebaugh Ave
Westchase
Tampa, FL 33626-1732 - Phone
- (813) 928-6895
- NPI assigned
- Jul 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY6274 | FL | |
| Clinical Psychologist | 103TC0700X | PY6274 | FL | Primary |
Addresses
Primary practice location
12169 W Linebaugh Ave
Westchase
Tampa, FL 33626-1732
Mailing address
14627 Village Glen Cir
Tampa, FL 33618-2733
Phone (813) 928-6895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12167 W Linebaugh Ave
Tampa, FL 33626-1732
Phone (813) 386-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY6274 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friedman & Rodriguez Psychology Associates PA | Current | Accepting new patients | |
| Psychological Management Group, PA | Past | Accepting new patients |
Locations
10910 Sheldon Rd
Tampa, FL 33626
Phone (813) 386-6800
12167 W Linebaugh Ave
Tampa, FL 33626
Phone (813) 386-6800
12169 W Linebaugh Ave
Westchase, FL 33626
Phone (813) 386-6800
Organizations & group practices 2
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.
-
- Health Service Psychologist
- Tampa, FL
- NPI 1851502603
-
- Counseling Psychologist
- Tampa, FL
- NPI 1144384264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185667200000",
"number": "1902810153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14627 VILLAGE GLEN CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182733",
"telephone_number": "813-928-6895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12169 W LINEBAUGH AVE",
"address_2": "WESTCHASE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261732",
"telephone_number": "813-928-6895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "ANDREA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY6274",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY6274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.