Individual provider Active NPI

Kenneth Freundlich, PH.D.

  • Clinical Neuropsychologist
  • Parsippany, NJ
National Provider Identifier
1003833849
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
35SI00212200 Issued in NJ
Practice address
50 Cherry Hill Rd
Suite 305
Parsippany, NJ 07054-1113
Phone
(973) 257-9000
Fax
(973) 257-0506
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 35SI00212200 NJ Primary

Addresses

Primary practice location

50 Cherry Hill Rd
Suite 305
Parsippany, NJ 07054-1113

Mailing address

50 Cherry Hill Rd
Suite 305
Parsippany, NJ 07054-1113
Phone (973) 257-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421000059 NJ Practitioner - Clinical Psychologist 3274510698 Practice locations: Parsippany, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

50 Cherry Hill Rd
Suite 305
Parsippany, NJ 07054-1101
Phone (973) 257-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Richard B. Dauber, PH.D. Past Accepting new patients
Morris Psychological Group, PA PastSince Aug 1, 2006 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003833849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHERRY HILL RD",
            "address_2": "SUITE 305",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541113",
            "telephone_number": "973-257-9000",
            "fax_number": "973-257-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHERRY HILL RD",
            "address_2": "SUITE 305",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541113",
            "telephone_number": "973-257-9000",
            "fax_number": "973-257-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUNDLICH",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "35SI00212200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.