Active NPI
Matthew Free, PHD
- Clinical Psychologist
- Worthington, OH
National Provider Identifier
1003482159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P.08160
- Practice address
- 6797 N High St Ste 214
Worthington, OH 43085-2533 - Phone
- (614) 638-8119
- NPI assigned
- May 31, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P.08160 | OH | Primary |
Addresses
Primary practice location
6797 N High St Ste 214
Worthington, OH 43085-2533
Mailing address
6797 N High St Ste 214
Worthington, OH 43085-2533
Phone (614) 638-8119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P.08160 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Ocd and Anxiety Clinic | Clinical | Current | Accepting new patients |
Networks
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- KY PPO C-SNP
- KY PPO
- OH PPO
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Columbus, OH
- NPI 1366158362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622419200000",
"number": "1003482159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6797 N HIGH ST STE 214",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430852533",
"telephone_number": "614-638-8119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6797 N HIGH ST STE 214",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430852533",
"telephone_number": "614-638-8119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREE",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-31",
"last_updated": "2021-05-31",
"certification_date": "2021-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "P.08160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worthington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.