Manfred & Associates, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

J4127 Issued in TX

Legal business name

MANFRED & ASSOCIATES, PA

Practice address

3901 E Stan Schlueter Loop Ste 202
Killeen, TX 76542-4554

Phone

(254) 634-4244

Fax

(254) 634-8809

NPI assigned

Mar 6, 2007

Last updated

Nov 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward Freeman, M.D.NPI 1245269604

Title

Owner

Phone

(254) 634-4244

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward B Freeman, M.D.

  • Psychiatry Physician
  • Killeen, TX
  • NPI 1245269604
  Medicare reassignment NPD Authorized official
• Kenneth J Brock, D.O.

  • Psychiatry Physician
  • Killeen, TX
  • NPI 1578593174
  NPD
• David R Dickens, CNS-P/MH

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Killeen, TX
  • NPI 1295764652
  NPD
• Lisa J Beisel, M.D.

  • Psychiatry Physician
  • Killeen, TX
  • NPI 1619906062
  NPD (past)
• Richard E Morgan, LCSW

  • Clinical Social Worker
  • Killeen, TX
  • NPI 1528095106
  NPD (past)
• Paul Christopherson Young, M.D.

  • Psychiatry Physician
  • Baytown, TX
  • NPI 1750318598
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1093845588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 S W S YOUNG DR STE A103",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765422007",
            "telephone_number": "254-634-4244",
            "fax_number": "254-634-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E STAN SCHLUETER LOOP STE 202",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424554",
            "telephone_number": "254-634-4244",
            "fax_number": "254-634-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANFRED & ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-634-4244",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J4127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165719901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Billy Malden Jr.
• Natasha Sharronda Malden, LPN
• Caitlyn Maldonado
• Stevie Malensky
• Rowena M Manalo, RN
• Damica Mangaroo
• Manifold Grace Rehabilitation LLC
• Anthony Mann, RD/RDN
• Siobhan Manning, FNP
• Shaquess Mapps

• Psychiatry Physician in Killeen, TX
• Providers in Killeen, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.