DR. BETHANY FRIEDMAN (PSY.D.) – Clinical Psychologist, NPI 1295984714

DR. BETHANY FRIEDMAN (PSY.D.) is a healthcare provider. based in Union city, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 020935 (NY). The NPI Number for DR. BETHANY FRIEDMAN (PSY.D.) is 1295984714

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. BETHANY FRIEDMAN (PSY.D.)
NPI
1295984714
Phone
(510) 675-3080
Address
3555 WHIPPLE RD
Enumeration Date
9 September 2008
Last Update Date
25 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8443853747
Graduation Year
2015 (11 years ago)
PAC ID
8921361080
Group Practice PAC ID
3375578917
Professional Enrollment ID
I20250722002401
Address ID
AZ853084624GL20325AVEX402
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness95
Years active:17State licenses:2Other names

4,434 CLINICAL PSYCHOLOGIST in CA

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Provider Addresses for DR. BETHANY FRIEDMAN (PSY.D.)

  • 3555, Whipple Road, Union City, Alameda County, California, 94587, United States

    BUILDING C

    UNION CITY, CA 945871507

    Phone: (510) 675-3080

    Type: Location

  • 20325 N 51st Ave Ste 168

    Glendale, AZ 853084624

    Phone: (844) 385-3747

    Type: Location

  • 777 DAVIS ST

    SAN LEANDRO, CA 945776923

    Phone: (510) 626-2800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180424002202IClinical PsychologistCATBD
I20250722002401IClinical PsychologistAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94587)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375578917View full group profile
NameSpecialtyState
Mental Health CounselorAZ
Clinical PsychologistAZ
Mental Health CounselorAZ
Clinical Social WorkerOH
Clinical PsychologistCA
Mental Health CounselorAZ
Mental Health CounselorWI
Marriage And Family TherapistMN
Undefined Non Physician Type (Specify)AZ
Mental Health CounselorTN

Reviews

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Frequently asked questions

How do I look up DR. BETHANY FRIEDMAN (PSY.D.) by NPI?
Use NPI 1295984714 when you need to reference DR. BETHANY FRIEDMAN (PSY.D.) in forms, claims, or directories.
Does this profile mean DR. BETHANY FRIEDMAN (PSY.D.) is currently active?
Yes — DR. BETHANY FRIEDMAN (PSY.D.) appears active in the national provider directory.
What field does DR. BETHANY FRIEDMAN (PSY.D.) work in?
You can think of DR. BETHANY FRIEDMAN (PSY.D.) as practicing within Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. BETHANY FRIEDMAN (PSY.D.)?
The page summarizes Union City, California for DR. BETHANY FRIEDMAN (PSY.D.); expand the address list for detail.
What if Union City, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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