Provider Demographics
NPI:1497719272
Name:T MED BEHAVIORAL INC
Entity Type:Organization
Organization Name:T MED BEHAVIORAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ZEE
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-425-8269
Mailing Address - Street 1:5610A SANDY LEWIS DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-4034
Mailing Address - Country:US
Mailing Address - Phone:703-425-8269
Mailing Address - Fax:703-425-6020
Practice Address - Street 1:5610A SANDY LEWIS DR
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22032-4034
Practice Address - Country:US
Practice Address - Phone:703-425-8269
Practice Address - Fax:703-425-6020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-17
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDBM60TOtherBCBS
ILDE7999OtherRR MEDICARE 99 IL
ILDE8053OtherRR MEDICARE 16 ILL
MDG396OtherBCBS CAREFIRST
MDC19816OtherRRMEDICARE MCARE
IADF3257OtherRR MEDICARE IOWA
VACD3552OtherRR MEDICARE VCARE
DCCG3517OtherRR MEDICARE XCARE
MDG396OtherBCBS CAREFIRST
DCCG3517OtherRR MEDICARE XCARE
ND711902Medicare PIN
MDC19816OtherRRMEDICARE MCARE
VAC06006Medicare PIN
MDKN18Medicare PIN
IA116570Medicare PIN
ILDE8053OtherRR MEDICARE 16 ILL
MD744LMedicare PIN
VACD3552OtherRR MEDICARE VCARE
IL212837Medicare PIN
IL212836Medicare PIN