Individual provider Active NPI

Andrea Lynn Friedman, PH.D.

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1902810153
Registry record updated Jul 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6274 Issued in FL
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

Updated by the provider on Jul 29, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20040128000906 FL Practitioner - Psychologist Billing Independently 8527961572 Reassigns benefits to 1 organization

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
Friedman and Rodriguez Psychology Associates PAGroup PAC ID 8426143918, 2 clinicians

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

LicenseStateTypeSpecialty
PY6274FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Friedman & Rodriguez Psychology Associates PA CurrentSince Jun 11, 2007 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.

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.

Verify at the official NPI Registry.