MICHAEL BRODER FRIEDMAN (NPI# 1629664305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629664305 |
| Entity Type | Individual |
| Full Name | MICHAEL BRODER FRIEDMAN |
| Other Name | MICHAEL FRIEDMAN (Professional Name) |
| Gender | Male |
| Credential | LPC |
| Other Credential | PLLC |
| Practice Address | 7015 Judi St Dallas TX 75252-6119 |
| Practice Telephone | 9728960519 |
| Mailing Address | 7015 Judi St Dallas TX 75252-6119 |
| Mailing Telephone | 9728960519 |
| Certification Date | 2020-09-30 |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2020-12-16 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 101YM0800X | Counselor Specialization: Mental Health | Behavioral Health & Social Service Providers |
| Street Address | 7015 JUDI ST |
| City | DALLAS |
| State | TX |
| Zip Code | 75252-6119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457914681 | Lashaun Nicole Mwangi | Counselor · Professional | 17740 Preston Rd., Suite 100-B, Dallas, TX 75252 | 2019-04-14 |
| 1699244921 | Naomi Silva | Counselor · Mental Health | 18208 Preston Rd. Ste D9-466, Dallas, TX 75252 | 2018-11-15 |
| 1134601560 | Douglas Wayne Barnes | Counselor · Mental Health | 17762 Preston Rd Suite 108, Dallas, TX 75252 | 2018-09-01 |
| 1528548260 | Rhejes Healthcare Services LLC · Rhejes Healthcare Services | In Home Supportive Care | 19019 Preston Rd Apt 710, Dallas, TX 75252 | 2018-08-21 |
| 1447759212 | Quadmed Medical Clinics of Texas, P.a. D/B/A Quadmed Medical Grou · Kohl's Dallas, Tx | Clinic/Center · Primary Care | 17655 Waterview Parkway, Dallas, TX 75252 | 2018-02-07 |
| 1114436862 | Steven Wade Martin | Chiropractor | 17330 Preston Rd., Suite 150a, Dallas, TX 75252 | 2017-09-26 |
| 1053766568 | Helix Health LLC | Clinical Medical Laboratory | 17218 Preston Road, Suite #4200, Dallas, TX 75252 | 2016-05-03 |
| 1144619511 | Bay Crest LLC | Home Health | 18208 Preston Rd Ste 151, Dallas, TX 75252 | 2015-01-22 |
| 1255720579 | Damion P Davis | Counselor | 17210 Campbell Rd, #200, Dallas, TX 75252 | 2015-01-12 |
| 1891109435 | Pediatric Home Healthcare, LLC | Home Health | 17950 Preston Rd # 370, Dallas, TX 75252 | 2014-06-11 |
| Find all providers in zip 75252 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497346266 | Melanie Barefield | 3900 Swiss Ave Apt 114, Dallas, TX 75204-6415 | 2021-02-03 | |
| 1831788702 | Sharon Kay Larkin | 5990 Lindenshire Ln Apt 122, Dallas, TX 75230-2727 | 2021-01-14 | |
| 1932797644 | Denise Merlick · Denise Merlick | 3405 Milton Ave Ste 207, Dallas, TX 75205-1377 | 2021-01-07 | |
| 1356938427 | Candice Farmer | 8150 N Central Expy # M1065, Dallas, TX 75206-1815 | 2020-12-23 | |
| 1861097164 | Mary M Wall · Missy M Wall | 2202 Longwood Ln, Dallas, TX 75228-5316 | 2020-12-03 | |
| 1356944961 | Ana Laura Ortiz | 8563 Stillwater Cir, Dallas, TX 75243-7125 | 2020-11-17 | |
| 1487257002 | Kemberly M Edwards | 7807 Alto Caro Dr, Dallas, TX 75248-4305 | 2020-11-17 | |
| 1891396313 | On Epiphany Lane, LLC | 603 Munger Ave Ste 100, Dallas, TX 75202-1840 | 2020-11-02 | |
| 1487253951 | Shanler Leigh Hoover | 12800 Hillcrest Rd # A103, Dallas, TX 75230-1524 | 2020-10-25 | |
| 1316546385 | Paola Guadalupe Garcia | 8338 Midland Ln, Dallas, TX 75217-8850 | 2020-10-21 | |
| Find all providers in DALLAS | ||||
| City | DALLAS |
| Zip Code | 75252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417458571 | Jacob Broder Broder | Behavior Technician | 1 Sansome St, San Francisco, CA 94104-4448 | 2018-02-23 |
| 1003031154 | Michael S. Broder | Psychologist | 1420 Locust St, 7g, Philadelphia, PA 19102-4223 | 2007-04-16 |
| 1225104136 | Michael Broder | Optometrist | 2165 Tamiami Trl S, Venice, FL 34293-5034 | 2006-11-24 |
| 1104830348 | Michael H. Broder | Specialist | 2034 Chestnut St, Montgomery, AL 36106-1111 | 2006-07-27 |
| 1669420832 | Michael Sylvan Broder | Radiology · Body Imaging | 908 Huntsford Ter, Thomasville, NC 27360-2506 | 2006-05-04 |
| 1770893471 | Michael O. Broder, Od, Pa | Optometrist | 2165 Tamiami Trl S, Venice, FL 34293-5034 | 2010-10-15 |
| 1700415072 | Michael Broder | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave Bldg 80-83, San Francisco, CA 94110-3518 | 2020-04-07 |
| 1972805315 | Michael O Pompey | Internal Medicine | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2010-11-17 |
| 1356574115 | Michael Broder | Obstetrics & Gynecology | 280 S Beverly Dr, Suite 404, Beverly Hills, CA 90212-3907 | 2009-08-27 |
| 1013318120 | Michael Friedman | Contractor | 190 E 18th Ave, Eugene, OR 97401-4160 | 2014-09-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.