Organization Active NPI

Wanda Freeman Holdings Corporation

  • Nurse Practitioner
  • Bloomfield Hills, MI
National Provider Identifier
1083417596
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
WANDA FREEMAN HOLDINGS CORPORATION
Practice address
6856 Sandalwood Dr
Bloomfield Hills, MI 48301-3023
Phone
(248) 631-9664
NPI assigned
Mar 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Wanda Freeman, PMHNP-BC, FNP-BCNPI 1659504264
Title
Owner
Phone
(248) 631-9664

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
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

6856 Sandalwood Dr
Bloomfield Hills, MI 48301-3023

Mailing address

6856 Sandalwood Dr
Bloomfield Hills, MI 48301-3023
Phone (248) 631-9664

Other names 1

  • Caring Behavioral Health Doing business as

National Provider Directory

National Provider Directory

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": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1083417596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6856 SANDALWOOD DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013023",
            "telephone_number": "248-631-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6856 SANDALWOOD DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013023",
            "telephone_number": "248-631-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDA FREEMAN HOLDINGS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-631-9664",
        "authorized_official_credential": "PMHNP-BC, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.