Active NPI
Julie Kabat Friedman, PHD
- Psychologist
- Skokie, IL
National Provider Identifier
1932224524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071006749
- Practice address
- 4709 Golf Rd FL 7
Skokie, IL 60076-1231 - Phone
- (312) 399-1949
- NPI assigned
- Mar 20, 2007
- Last updated
- Jan 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01636929 | Other | IL | BCBS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 071006749 | IL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.