Freeman M Chakara, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS009409 Issued in PA

Practice address

219 W Main St
Leola, PA 17540-1753

Phone

(717) 556-0149

Fax

(717) 556-0149

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeman M Chakara PCGroup PAC ID 8527061902, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Freeman M Chakara PC

  • Clinical Neuropsychologist
  • Leola, PA
  • NPI 1952328833
  Medicare reassignment Care Compare group NPD Authorized official
• Samaritan Counseling Center

  • Psychologist
  • Lancaster, PA
  • NPI 1043274608
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1336190966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 OLD ROTHSVILLE RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439133",
            "telephone_number": "717-556-0149",
            "fax_number": "717-556-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W MAIN ST",
            "city": "LEOLA",
            "state": "PA",
            "postal_code": "175401753",
            "telephone_number": "717-556-0149",
            "fax_number": "717-556-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKARA",
        "first_name": "FREEMAN",
        "middle_name": "M",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS009409",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS009409",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PA",
            "license": "PS009409",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "680015251",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02271001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY MEDICARE ASSURED",
            "identifier": "1548470",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001334567",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018978580002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikki Leigh Andruscavage, LPC
• Beryl R Sherman DDS Associates
• Jeffrey Michael Brandenburg, PT
• Mark Alan Burkholder, M.A. L.P.C.
• Maggie W K Chan, PHARMACIST
• Lorna Ching-Carter, PA-C
• Ian Clayton, LPC
• Denise Renee Coates, LPC, NCC
• Community Care & Addiction Recovery Services

• Clinical Neuropsychologist in Leola, PA
• Providers in Leola, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.

Verify at the official NPI Registry.