Individual provider Active NPI

Noah Edward Freiburger, DNP, PMHNP-BC, CBIS

  • Psychiatric/Mental Health Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1194255307
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704374326 Issued in MI
Practice address
29532 Southfield Rd Ste 115
Southfield, MI 48076-2023
Phone
(989) 465-5707
Fax
(313) 432-6019
NPI assigned
Jun 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704374326 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704374326 MI Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61656982 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 90723 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95033950 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 24084260 OR

Addresses

Primary practice location

29532 Southfield Rd Ste 115
Southfield, MI 48076-2023

Mailing address

2150 Hillhurst Ave
Los Angeles, CA 90027-2012
Phone (989) 465-5707

Other practice location 1

1833 W 21st St Ste 104
Clovis, NM 88101-4023
Phone (989) 465-5707

Other practice location 2

5901 S MacAdam Ave Ste 100
Portland, OR 97239-3620
Phone (989) 465-5707

Other practice location 3

2027 196th St SW Ste A205
Lynnwood, WA 98036-7073
Phone (989) 465-5707

Other practice location 4

105 Pearl St
Ypsilanti, MI 48197-2611
Phone (989) 465-5707

Other practice location 5

2150 Hillhurst Ave
Los Angeles, CA 90027-2012
Phone (989) 465-5707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95033950CAMDPsychiatric/Mental Health Nurse Practitioner
4704374326MIMDPsychiatric/Mental Health Nurse Practitioner
24084260ORMDPsychiatric/Mental Health Nurse Practitioner
AP61656982WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Bath Nursing Inc Psychiatric/Mental Health Current Accepting new patients

Locations

2150 Hillhurst Ave
Los Angeles, CA 90027
Phone (213) 604-6079

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1194255307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 HILLHURST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272012",
            "telephone_number": "989-465-5707",
            "fax_number": "313-432-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29532 SOUTHFIELD RD STE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762023",
            "telephone_number": "989-465-5707",
            "fax_number": "313-432-6019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1833 W 21st St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "NM",
            "postal_code": "881014023",
            "country_code": "US",
            "telephone_number": "989-465-5707",
            "fax_number": "313-432-6019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 S MacAdam Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393620",
            "country_code": "US",
            "telephone_number": "989-465-5707",
            "fax_number": "313-432-6019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2027 196th St SW Ste A205",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980367073",
            "country_code": "US",
            "telephone_number": "989-465-5707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481972611",
            "country_code": "US",
            "telephone_number": "989-465-5707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 Hillhurst Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900272012",
            "country_code": "US",
            "telephone_number": "989-465-5707",
            "fax_number": "313-432-6019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREIBURGER",
        "first_name": "NOAH",
        "middle_name": "EDWARD",
        "credential": "DNP, PMHNP-BC, CBIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704374326",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704374326",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61656982",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "90723",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95033950",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "24084260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.