Freedom Psychiatry Center LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

FREEDOM PSYCHIATRY CENTER LLC

Practice address

7075 W Bell Rd Ste a-1
Glendale, AZ 85308-8546

Phone

(602) 348-1338

Fax

(602) 297-6566

NPI assigned

Jun 29, 2020

Organization subpart

No

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

Authorized official

Name

Paul Okoronkwo, PMHNPNPI 1659995595

Title

Provider

Phone

(602) 348-1338

Specialties & licenses 1

Addresses

Other names 1

• freedom psychiatry center llc Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ, FL, WA, NV4 enrollments

Enrollment records 4

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Okoronkwo

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
  • NPI 1659995595

  FL, NV, WA

  Medicare reassignment Authorized official
• Akaninyene Etukudoh, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1205597887

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1306463070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 W MARY JANE LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823842",
            "telephone_number": "602-348-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 W BELL RD STE A-1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088546",
            "telephone_number": "602-348-1338",
            "fax_number": "602-297-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PSYCHIATRY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "OKORONKWO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "602-348-1338",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "freedom psychiatry center llc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "freedom psychiatry center llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason A Frederick, PHARM.D.
• Sarah Freeburg
• Freedom Family Counseling, LLC
• Freedom Manor, Inc.
• Freedom Medical Diagnostic LLC
• Stephen John French
• Fresh Start Behavioral Health LLC
• Fresh Start Community Services
• Bethanie Dawn Freshour, LMT
• Olivia Frethy, RBT

• Psychiatric/Mental Health Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.