Organization Active NPI

Nechama Freedman LLC

  • Clinical Psychologist
  • Lincolnwood, IL
National Provider Identifier
1013548163
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NECHAMA FREEDMAN LLC
Practice address
7366 N Lincoln Ave Ste 310
Lincolnwood, IL 60712-1740
Phone
(847) 350-1190
NPI assigned
Jan 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Dr. Nechama Freedman, PSYDNPI 1376812610
Title
Licensed Clinical Psychologist
Phone
(847) 350-1190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

7366 N Lincoln Ave Ste 310
Lincolnwood, IL 60712-1740

Mailing address

2900 W Sherwin Ave
Chicago, IL 60645-1210
Phone (847) 350-1190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200408000020 IL Part B Supplier - Clinic/Group Practice 0941639207 Receives reassigned benefits from 1 practitioner
Practice locations: Lincolnwood, IL

National Provider Directory

National Provider Directory

Locations

518 Davis St
Ste 217
Evanston, IL 60201
Phone (847) 350-1190

7366 N Lincoln Ave
Ste 310
Lincolnwood, IL 60712
Phone (312) 834-7616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1013548163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W SHERWIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451210",
            "telephone_number": "847-350-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7366 N LINCOLN AVE STE 310",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121740",
            "telephone_number": "847-350-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECHAMA FREEDMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "NECHAMA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-350-1190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.