Active NPI
Lisa Freeman, PH.D.
- Clinical Psychologist
- Columbia, MD
National Provider Identifier
1386781938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 03904
- Practice address
- 10715 Charter Dr
Suite 270
Columbia, MD 21044-2882 - Phone
- (410) 992-5078
- Fax
- (410) 992-9669
- NPI assigned
- Jan 31, 2007
- Last updated
- Jun 17, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 03904 | MD | Primary |
Addresses
Primary practice location
10715 Charter Dr
Suite 270
Columbia, MD 21044-2882
Mailing address
10715 Charter Dr
Suite 270
Columbia, MD 21044-2882
Phone (410) 992-5078
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88460001 | Other | DC | CAREFIRST BCBS D.C. |
| GQ75LM 61937403 | Other | MD | BCBS CAREFIRST MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everly, Hildreth & Platman Behavioral Services, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba EHP Behavioral Services, LLC
- Professional Counselor
- Baltimore, MD
- NPI 1225005580
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1386781938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10715 CHARTER DR",
"address_2": "SUITE 270",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442882",
"telephone_number": "410-992-5078",
"fax_number": "410-992-9669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10715 CHARTER DR",
"address_2": "SUITE 270",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442882",
"telephone_number": "410-992-5078",
"fax_number": "410-992-9669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "03904",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS D.C.",
"identifier": "88460001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CAREFIRST MD",
"identifier": "GQ75LM 61937403",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.