Individual provider Active NPI

Julie Kabat Friedman, PHD

  • Psychologist
  • Skokie, IL
National Provider Identifier
1932224524
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071006749 Issued in IL
Practice address
4709 Golf Rd FL 7
Skokie, IL 60076-1231
Phone
(312) 399-1949
NPI assigned
Mar 20, 2007
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071006749 IL Primary

Addresses

Primary practice location

4709 Golf Rd FL 7
Skokie, IL 60076-1231

Mailing address

530 Susan LN
Deerfield, IL 60015-3951
Phone (312) 399-1949

Other identifiers 1

IdentifierTypeStateIssuer
01636929OtherILBCBS PPO IL NO.

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071006749ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Skyway Behavioral Health LLC Psychologist Current Accepting new patients

Locations

2001 Butterfield Rd
Ste 300
Downers Grove, IL 60515
Phone (630) 725-2730

4709 Golf Rd
Fl 7
Skokie, IL 60076
Phone (224) 970-1022

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1932224524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SUSAN LN",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153951",
            "telephone_number": "312-399-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD FL 7",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761231",
            "telephone_number": "312-399-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JULIE",
        "middle_name": "KABAT",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071006749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PPO IL NO.",
            "identifier": "01636929",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.