DANIEL FRIDBERG – Psychologist, NPI 1740691013

DANIEL FRIDBERG is a healthcare provider. based in Chicago, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. 071008791 (IL). The NPI Number for DANIEL FRIDBERG is 1740691013

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL FRIDBERG
NPI
1740691013
Phone
(773) 834-8654
Address
5841 S MARYLAND AVE
Enumeration Date
8 May 2014
Last Update Date
24 October 2022

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7737021000
Graduation Year
2011 (15 years ago)
PAC ID
7719108497
Group Practice PAC ID
7618880766
Professional Enrollment ID
I20141021003282
Address ID
IL606371443CH5841XAVEX400
Telehealth
Yes

Contacts

Secure Messaging
pfridberg75155@uchospital.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DANIEL FRIDBERG

  • 5841 S MARYLAND AVE

    MC 3077

    CHICAGO, IL 606371447

    Phone: (773) 834-8654

    Type: Mailing

  • 150 HARVESTER DR

    SUITE 300

    BURR RIDGE, IL 605275919

    Phone:

    Type: Mailing

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: 2014-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20141021003282IClinical PsychologistILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90853Group psychotherapy7118$0
View full utilization report →

Insurance plans in this area (ZIP 60637)

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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: 7618880766View full group profile
NameSpecialtyState
Endocrinology, Internal MedicineIL
N E U R O S U R G E R YIL
Nurse PractitionerIL
-IL
Gastroenterology, Internal MedicineCT
Internal MedicineIL
Internal MedicineIL
-IL
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)IL
-CA

Reviews

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Frequently asked questions

Can I verify DANIEL FRIDBERG with an NPI only?
You can start verification with NPI 1740691013 for DANIEL FRIDBERG, then check state licensing separately.
Can I rely on DANIEL FRIDBERG being an active provider?
As of the registry snapshot, DANIEL FRIDBERG is marked active.
What is DANIEL FRIDBERG's primary classification?
Psychologist is the headline specialty for DANIEL FRIDBERG here. Clinical services aligned with this taxonomy classification.
Does DANIEL FRIDBERG list a practice location?
Patients near Chicago, Illinois may find DANIEL FRIDBERG in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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