Active NPI
Michael Friedmann, PH.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1972675890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY28298
- Practice address
- Caps UCLA John Wooden Center West 221 Westwood Plaza
Los Angeles, CA 90095-0001 - Phone
- (213) 536-9560
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 012997 | NY | |
| Clinical Psychologist | 103TC0700X | PSY28298 | CA | Primary |
Addresses
Primary practice location
Caps UCLA John Wooden Center West 221 Westwood Plaza
Los Angeles, CA 90095-0001
Mailing address
Caps UCLA John Wooden Center West 221 Westwood Plaza
Box 951556
Los Angeles, CA 90095-1556
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY28298 | CA | MD | Clinical Psychologist |
| 012997 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Medical Center | Past | Accepting new patients | |
| Beth Israel Medical Center Psychiatry & Behavioral Science | Past | Accepting new patients |
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.
-
- Cognitive & Behavioral Psychologist
- New York, NY
- NPI 1275624199
-
- Cognitive & Behavioral Psychologist
- New York, NY
- NPI 1477582476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1972675890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CAPS UCLA JOHN WOODEN CENTER WEST 221 WESTWOOD PLAZA",
"address_2": "BOX 951556",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900951556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CAPS UCLA JOHN WOODEN CENTER WEST 221 WESTWOOD PLAZA",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "213-536-9560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMANN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "012997",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY28298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.