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JENNIFER FRANCES PUALEI DYER-FRIEDMAN PHD
NPI 1538933320
Psychologist - Clinical in Palo Alto, CA

Active since November 13, 2023Opted out of Medicare · through Apr 1, 2028
690 WAVERLEY ST STE 102, PALO ALTO, CA 94301(650) 327-4790 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Frances Pualei Dyer-friedman Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER FRANCES PUALEI DYER-FRIEDMAN PHD (NPI 1538933320) is an individual clinical provider in Palo Alto, California, licensed in California (PSY16509) and active in the NPI registry since November 2023. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1538933320
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJENNIFER FRANCES PUALEI DYER-FRIEDMANCredential: PHD
Location Address690 WAVERLEY ST STE 102Palo Alto, CA 94301-2589
Mailing Address690 Waverley St Ste 102Palo Alto, CA 94301-2589 · (650) 327-4790
Phone(650) 327-4790
Sole ProprietorYes
Enumeration DateNovember 13, 2023
NPPES CertifiedNovember 12, 2023
✔ NPI 1538933320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY16509
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
690 WAVERLEY ST STE 102, Palo Alto, CA 94301
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Frances Pualei Dyer-friedman Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Dyer-friedman's NPI number?

The NPI number for Jennifer Dyer-friedman is 1538933320. It was assigned to this individual provider in the NPPES registry on November 13, 2023.

Where is Jennifer Dyer-friedman located?

Jennifer Dyer-friedman practices at 690 Waverley St Ste 102, Palo Alto, CA 94301. The listed phone number is (650) 327-4790.

What is Jennifer Dyer-friedman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jennifer Dyer-friedman enrolled in Medicare?

No. Jennifer Dyer-friedman has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Dyer-friedman was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.