Healthcare Provider Details

I. General information

NPI: 1700140944
Provider Name (Legal Business Name): NAAMA RUDIN- FRISHMAN MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 COMMERCE WAY STE 200
PORTSMOUTH NH
03801-3272
US

IV. Provider business mailing address

5423 GARFIELD ST
HOLLYWOOD FL
33021-4622
US

V. Phone/Fax

Practice location:
  • Phone: 201-838-6255
  • Fax:
Mailing address:
  • Phone: 201-838-6255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number1273529
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-14-16038
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: