Robert N Freedenfeld, PHD, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5462 Issued in TX

Legal business name

ROBERT N FREEDENFELD, PHD, PC

Practice address

1207 S White Chapel Blvd
Suite 140
Southlake, TX 76092-9314

Phone

(817) 312-3917

NPI assigned

Aug 19, 2013

Organization subpart

No

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

Authorized official

Name

Robert Freedenfeld, PHDNPI 1386789360

Title

President

Phone

(817) 312-3917

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Neil Freedenfeld, PH.D.

  • Clinical Psychologist
  • Southlake, TX
  • NPI 1386789360
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1174956700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760340532",
            "telephone_number": "817-312-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S WHITE CHAPEL BLVD",
            "address_2": "SUITE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929314",
            "telephone_number": "817-312-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT N FREEDENFELD, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "FREEDENFELD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-312-3917",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "5462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Rivera, MA LPC
• Laura Anne Rizzo, MD
• Roanoke Family Eyecare
• Natalie A Roberge, M.D.
• Robert B. Guzman
• Robert Sewell, M.D., P.a.
• Mykin Roberts, MA, CCC/SLP
• Gregory Robertson
• Destiny Zhane Robinson
• Lori Amber Roby, AUD

• Clinical Psychologist in Southlake, TX
• Providers in Southlake, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.