Individual provider Active NPI

Renee Freilich, RN,MSN,CNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Newtown Square, PA
National Provider Identifier
1316073554
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
RN228819L Issued in PA
Practice address
4447 Gradyville Rd
Newtown Square, PA 19073-3048
Phone
(610) 353-0184
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X RN228819L PA
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X RN228819L PA Primary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X RN228819L PA

Addresses

Primary practice location

4447 Gradyville Rd
Newtown Square, PA 19073-3048

Mailing address

4447 Gradyville Rd
Newtown Square, PA 19073-3048
Phone (610) 353-0184

Other identifiers 1

IdentifierTypeStateIssuer
FR158209OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090910000402 PA Practitioner - Certified Clinical Nurse Specialist (CNS) 8123173416 Practice locations: Newtown Square, PA

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4447 Gradyville Rd
Newtown Square, PA 19073-3048
Phone (610) 353-0184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN228819LPAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1316073554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 GRADYVILLE RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733048",
            "telephone_number": "610-353-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4447 GRADYVILLE RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733048",
            "telephone_number": "610-353-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREILICH",
        "first_name": "RENEE",
        "credential": "RN,MSN,CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN228819L",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "RN228819L",
            "primary": true
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "PA",
            "license": "RN228819L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "FR158209",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

Verify at the official NPI Registry.