Robert Neil Freedenfeld, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5462 Issued in TX

Practice address

1207 S White Chapel Blvd
Southlake, TX 76092-9314

Phone

(817) 312-3917

Fax

(817) 442-9787

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Robert N Freedenfeld, PHD, PC

  • Clinical Psychologist
  • Southlake, TX
  • NPI 1174956700
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386789360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760340532",
            "telephone_number": "817-312-3917",
            "fax_number": "817-442-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S WHITE CHAPEL BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929314",
            "telephone_number": "817-312-3917",
            "fax_number": "817-442-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDENFELD",
        "first_name": "ROBERT",
        "middle_name": "NEIL",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "5462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Franco
• Gaelle Francois
• Angelica Frank, D.D.S.
• Justin Frazier
• Laura Marcela Fredes, MD
• Freedom Vision Consultants PLLC
• Andrew Paul Freese, M.D.
• Kendell Freier, DC
• Emma Nicole Fritz
• Lora Kay Froehlich, PT

• Clinical Psychologist in Southlake, TX
• Providers in Southlake, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.