Individual provider Active NPI

Resa Fremed, EDD LMFT

  • Marriage & Family Therapist
  • South Salem, NY
National Provider Identifier
1073670162
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000281 Issued in NY
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

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.