Alyssa Danielle Freedman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS01873 Issued in RI

Practice address

382 Thayer St
Providence, RI 02906-1558

Phone

(401) 330-5882

Fax

(401) 226-0137

NPI assigned

Aug 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Dynamic and Behavioral Therapy LLC

  • Clinical Psychologist
  • Providence, RI
  • NPI 1790207876
  NPD

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1144830498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 THAYER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061558",
            "telephone_number": "401-330-5882",
            "fax_number": "401-226-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 THAYER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061558",
            "telephone_number": "401-330-5882",
            "fax_number": "401-226-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "ALYSSA",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11396",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Dupont Frechtte, PHD
• Kyle Frederick
• Rebecca Nicole Fredericks, LICSW, PMH-C
• Kathryn Emily Fredette, PMHNP
• Meghan Elizabeth Fredette, MD
• Phyllis C Freedman, RD
• Freedom Care Ri LLC
• Katherine R Freedy, MD
• Trisha Sue Freel, MS, CGC
• Alyssa Lee Freeman, M.A.

• Clinical Psychologist in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.