FREDRICK P. FRIEDEN (PH.D.) – Clinical Psychologist, NPI 1316035975

FREDRICK P. FRIEDEN (PH.D.) is a healthcare provider. based in Newport news, Virginia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 0810001061 (VA). The NPI Number for FREDRICK P. FRIEDEN (PH.D.) is 1316035975

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
FREDRICK P. FRIEDEN (PH.D.)
NPI
1316035975
Phone
(757) 877-7700
Address
12695 MCMANUS BLVD.
Enumeration Date
10 October 2006
Last Update Date
8 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7578777700
Graduation Year
1981 (45 years ago)
PAC ID
0446432330
Group Practice PAC ID
4981688744
Professional Enrollment ID
I20110314001084
Address ID
VA236024442NE12695BLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

668 CLINICAL PSYCHOLOGIST in VA

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Provider Addresses for FREDRICK P. FRIEDEN (PH.D.)

  • 12695, McManus Boulevard, Newport News, Virginia, 23602, United States

    BLDG 8

    NEWPORT NEWS, VA 236024442

    Phone: (757) 877-7700

    Fax: (757) 872-7211

    Mailing address matches the actual address.

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: 2011-03-14

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
I20110314001084IClinical PsychologistVATBD

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 23602)

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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: 4981688744View full group profile
NameSpecialtyState
Clinical Social WorkerVA
Clinical PsychologistVA
Mental Health CounselorVA
Clinical Social WorkerVA
Clinical Social WorkerVT
Clinical PsychologistVA
-VA

Reviews

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Frequently asked questions

Does FREDRICK P. FRIEDEN (PH.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — FREDRICK P. FRIEDEN (PH.D.) uses 1316035975.
Can I rely on FREDRICK P. FRIEDEN (PH.D.) being an active provider?
As of the registry snapshot, FREDRICK P. FRIEDEN (PH.D.) is marked active.
What is FREDRICK P. FRIEDEN (PH.D.) best known for clinically?
Directory data describes FREDRICK P. FRIEDEN (PH.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where should I expect FREDRICK P. FRIEDEN (PH.D.) on a map?
Expect Newport News, Virginia as a primary anchor for FREDRICK P. FRIEDEN (PH.D.) unless the record lists multiple sites.
Why does FREDRICK P. FRIEDEN (PH.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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