Organization Active NPI

Friedman Psychology

  • Clinical Psychologist
  • Northbrook, IL
National Provider Identifier
1962231191
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
FRIEDMAN PSYCHOLOGY
Practice address
1240 Meadow Rd Ste 200B
Northbrook, IL 60062-8300
Phone
(847) 920-8498
NPI assigned
Jul 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Authorized official

Name
Alexander Friedman, PSYD
Title
Owner of Practice
Phone
(847) 920-8498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1240 Meadow Rd Ste 200B
Northbrook, IL 60062-8300

Mailing address

1240 Meadow Rd Ste 200B
Northbrook, IL 60062-8300
Phone (847) 920-8498

National Provider Directory

National Provider Directory

Locations

1240 Meadow Rd
Ste 200B
Northbrook, IL 60062
Phone (847) 920-8498

NPI Registry JSON

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722038400000",
    "number": "1962231191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 MEADOW RD STE 200B",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628300",
            "telephone_number": "847-920-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 MEADOW RD STE 200B",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628300",
            "telephone_number": "847-920-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIEDMAN PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER OF PRACTICE",
        "authorized_official_telephone_number": "847-920-8498",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.