Myron Stephen Fridman, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2760 Issued in OH

Practice address

9403 Kenwood Rd
Suite B110
Cincinnati, OH 45242

Phone

(513) 794-0808

Fax

(513) 489-5158

NPI assigned

Dec 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Adolescent Substance Abuse Programs, Inc.

  • Community/Behavioral Health Agency
  • Blue Ash, OH
  • NPI 1255517959
  NPD (past)
• Clarity Behavioral Health

  • Community/Behavioral Health Agency
  • Blue Ash, OH
  • NPI 1063913002

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1992873335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9403 KENWOOD RD",
            "address_2": "SUITE B110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426895",
            "telephone_number": "513-794-0808",
            "fax_number": "513-489-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 KENWOOD RD",
            "address_2": "SUITE B110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-794-0808",
            "fax_number": "513-489-5158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Pleasant Ave",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450151135",
            "country_code": "US",
            "telephone_number": "513-868-1562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIDMAN",
        "first_name": "MYRON",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "2760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0579520",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara L Freyhauf
• Mayra Frias, MD
• Irelan Anjanette Fricke, M.S.
• Sharon Fricke, FNP-BC
• Amanda Fridley, PHARMD, RPH
• Jon H Fridriksson, M.D.
• Alexis Renee Josie Fried
• Spencer L Fried, DDS
• Daniel L Friedberg, M.D.
• Nurit Friedberg, LISW

• Psychologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.