Active NPI
Resa Fremed, EDD LMFT
- Marriage & Family Therapist
- South Salem, NY
National Provider Identifier
1073670162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000281
- Practice address
- 65 Lake Shore Drive
South Salem, NY 10590-1311 - Phone
- (914) 763-3546
- Fax
- (914) 514-8074
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000281 | NY | Primary |
| Marriage & Family Therapist | 106H00000X | 000499 | CT |
Addresses
Primary practice location
65 Lake Shore Drive
South Salem, NY 10590-1311
Mailing address
65 Lake Shore Drive
South Salem, NY 10590-1311
Phone (914) 763-3546
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073670162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 LAKE SHORE DRIVE",
"city": "SOUTH SALEM",
"state": "NY",
"postal_code": "105901311",
"telephone_number": "914-763-3546",
"fax_number": "914-514-8074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 LAKE SHORE DRIVE",
"city": "SOUTH SALEM",
"state": "NY",
"postal_code": "105901311",
"telephone_number": "914-763-3546",
"fax_number": "914-514-8074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREMED",
"first_name": "RESA",
"name_prefix": "Dr.",
"credential": "EDD LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "000281",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "000499",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Salem, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.