Active NPI
Centered Psychiatry of New Mexico LLC
- Psychiatry Physician
- Kew Gardens, NY
National Provider Identifier
1184193385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Noah D Freedman, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 DirectoryPractitioners & 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.
-
- Psychiatry Physician
- Kew Gardens, NY
- NPI 1366417669
-
- Marriage & Family Therapist
- Kew Gardens, NY
- NPI 1285790980
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.