Active NPI
Peter Freedman, M.D.
- Psychiatry Physician
- Berkeley, CA
National Provider Identifier
1124025051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G 33020
- Practice address
- 3031 Telegraph Ave
103
Berkeley, CA 94705-2051 - Phone
- (510) 549-3287
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G 33020 | CA | Primary |
Addresses
Primary practice location
3031 Telegraph Ave
103
Berkeley, CA 94705-2051
Mailing address
3031 Telegraph Ave
103
Berkeley, CA 94705-2051
Phone (510) 549-3287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110627000685 | CA | Practitioner - Psychiatry | 2961680798 | Practice locations: Berkeley, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- State Un of Ny, Stony Brook School of Dental Med, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3031 Telegraph Ave
Berkeley, CA 94705-2052
Phone (510) 549-3287
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33020 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1124025051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 TELEGRAPH AVE",
"address_2": "103",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052051",
"telephone_number": "510-549-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 TELEGRAPH AVE",
"address_2": "103",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052051",
"telephone_number": "510-549-3287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G 33020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.