Organization Active NPI

Centered Psychiatry of New Mexico LLC

  • Psychiatry Physician
  • Kew Gardens, NY
National Provider Identifier
1184193385
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CENTERED PSYCHIATRY OF NEW MEXICO LLC
Practice address
8300 Talbot St Apt 2B
Kew Gardens, NY 11415-3516
Phone
(718) 440-7867
Fax
(505) 930-5398
NPI assigned
Nov 16, 2018
Last updated
Sep 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Noah D Freedman, MDNPI 1366417669
Title
Owner
Phone
(718) 440-7867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

8300 Talbot St Apt 2B
Kew Gardens, NY 11415-3516

Mailing address

8300 Talbot St Apt 2B
Kew Gardens, NY 11415-3516
Phone (718) 440-7867

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1184193385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 TALBOT ST APT 2B",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153516",
            "telephone_number": "718-440-7867",
            "fax_number": "505-930-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 TALBOT ST APT 2B",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153516",
            "telephone_number": "718-440-7867",
            "fax_number": "505-930-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED PSYCHIATRY OF NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "NOAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-440-7867",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.