Organization Active NPI

Henry T Freeland Med Corp

  • Psychiatry Physician
  • Alameda, CA
National Provider Identifier
1013096569
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G21044 Issued in CA
Legal business name
HENRY T FREELAND MED CORP
Practice address
512 Westline Dr
Suite 203
Alameda, CA 94501-7649
Phone
(510) 521-4323
Fax
(510) 521-5623
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Dr. Henry Theodore Freeland, MD
Title
Physician
Phone
(510) 521-4323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X G21044 CA Primary

Addresses

Primary practice location

512 Westline Dr
Suite 203
Alameda, CA 94501-7649

Mailing address

155 Pershing Dr
Oakland, CA 94611-3232
Phone (510) 521-4323

National Provider Directory

National Provider Directory

Locations

512 Westline Dr
Ste 203
Alameda, CA 94501
Phone (510) 521-4323

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1013096569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 PERSHING DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946113232",
            "telephone_number": "510-521-4323",
            "fax_number": "521-521-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 WESTLINE DR",
            "address_2": "SUITE 203",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945017649",
            "telephone_number": "510-521-4323",
            "fax_number": "510-521-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY T FREELAND MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "FREELAND",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "510-521-4323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G21044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.