Douglas L Friesen, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS009010L Issued in PA

Practice address

108 S Main St
Manheim, PA 17545-1602

Phone

(717) 665-2675

Fax

(717) 665-6193

NPI assigned

Jul 22, 2006

Last updated

Nov 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Emotional Health Center of Lancaster LLCGroup PAC ID 7719102201, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Emotional Health Center of Lancaster, LLC

  • Psychologist
  • Lancaster, PA
  • NPI 1174949903
  Medicare reassignment Care Compare group NPD
• Journey Therapy, LLC

  • Clinical Psychologist
  • Elizabethtown, PA
  • NPI 1477164895
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1972524148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "175451602",
            "telephone_number": "717-665-2675",
            "fax_number": "717-665-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "175451602",
            "telephone_number": "717-665-2675",
            "fax_number": "717-665-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESEN",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS009010L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Fisher Jr., MA
• Terri Stokes Fleck, OTR
• Fleet Physical Therapy
• Free 2 B Me Diet LLC
• Friendship Community
• Megan Fulmer, LPC
• Carmen Garber
• Gary a Luken MD
• Elizabeth A Gerhart, PA-C
• Elinor Grace Gerock, R.N.

• Psychologist in Manheim, PA
• Providers in Manheim, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.