Max Ryan Freeman, PHD, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

029160-01 Issued in NY

Practice address

2719 44TH Dr
Long Island City, NY 11101-3034

Phone

(914) 610-0871

NPI assigned

Jan 24, 2020

Last updated

Jan 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1245860584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 44TH DR APT 20B",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 44TH DR",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013034",
            "telephone_number": "914-610-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "MAX",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.015120",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029160-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalmacio Honasan Francisco, M.D.
• Vanessa Franco
• Frank John Franzese, RN
• Karen Frazer
• Theresa E Frazer, RN
• Paige N Freeman, RN
• Maglise French
• Sarah Elizabeth Frese
• Ziba Friedkin, RN
• Deborah Friedlander, LMSW

• Speech-Language Pathologist in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.