Active NPI
Renee Freilich, RN,MSN,CNS
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Newtown Square, PA
National Provider Identifier
1316073554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN228819L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FR158209 | Other | PA | HIGHMARK 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN228819L | PA | MD | Adult 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.