Mary-Margaret Ellen Freier – Clinical Psychologist

Key facts

NPI: 1194875294
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Psychologist 103TC0700X
License: 002963 (CT)
Practice address: 4 Van Cedarfield Rd.
Colchester, CT 06415
Phone: (860) 281-4318
Fax: (860) 537-1033
NPI assigned: Jan 11, 2007
Sex: Female
Sole proprietor: Yes

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.

West Brookfield Family Practice Family Medicine Physician · West Brookfield, MA · NPI 1205032463

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
West Brookfield Family Practice		Past since May 15, 2011	Accepting new patients

Interoperability endpoints

FHIR API: https://fhir4.healow.com/fhir/r4/DACACA

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Psychologist	103TA0400X	002963	CT
Cognitive & Behavioral Psychologist	103TB0200X	002963	CT
Clinical Psychologist	103TC0700X	002963	CT	Yes
Counseling Psychologist	103TC1900X	002963	CT
Clinical Child & Adolescent Psychologist	103TC2200X	002963	CT
Group Psychotherapy Psychologist	103TP2701X	002963	CT

Addresses

Primary practice location

4 Van Cedarfield Rd.
Colchester, CT 06415

Mailing address

2842 Main St
PMB 128
Glastonbury, CT 06033-1077
Phone (860) 281-4318

Other providers in Colchester, CT

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May Ragna Fianna, LMFT
Scott Fidrych
Rondelle Mille Fischmann, PT
Janine Fonfara, LCSW
Janice Fuller
Lara Galazin
Robin Galon
Genesis Eldercare Rehabilitation Services LLC
Dona Gioco Hoff, LCSW

All providers in Colchester, CT · Clinical Psychologist in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.