Jacqueline Friedman, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3400 Issued in NC

Practice address

2910 Briarcliffe Rd
Winston Salem, NC 27106-3176

Phone

(336) 695-3760

Fax

(336) 773-0332

NPI assigned

Mar 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 13, 2024 through Aug 13, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Trinity Center Inc

  • Addiction (Substance Use Disorder) Counselor
  • Winston Salem, NC
  • NPI 1700892478

  Psychologist

  NPD (past)
• Trinity Center Inc

  • Counseling Psychologist
  • Winston Salem, NC
  • NPI 1780536383
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1992765507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 BRIARCLIFFE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 BRIARCLIFFE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063176",
            "telephone_number": "336-695-3760",
            "fax_number": "336-773-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JACQUELINE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3400",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresh Focus Counseling LLC
• Fresh Start Behavioral Services LLC
• Aniyah Freyre-Williams
• Brett Daniel Friedler, DO
• Candace Friedman, MS, CCC-SLP, BCS-S
• Roland Morris Friedman, M.D.
• Friendly People That Care
• Friendly People That Care
• Carrie Cort Friesen, MD
• Emma Fay Fiore Frieslaar

• Clinical Psychologist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.