Active NPI
Stephanie Freitag
- Clinical Psychologist
- New York, NY
National Provider Identifier
1407589914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 025014
- Practice address
- 276 Fifth Ave
Ste 704 PMB 18
New York, NY 10001 - Phone
- (973) 922-0302
- NPI assigned
- Jul 3, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4238 | CT | |
| Clinical Psychologist | 103TC0700X | 025014 | NY | Primary |
Addresses
Primary practice location
276 Fifth Ave
Ste 704 PMB 18
New York, NY 10001
Mailing address
33 Beachmont Ter
North Caldwell, NJ 07006-4617
Phone (973) 979-7069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.psychologytoday.com/us/therapists/stephanie-freitag-new-york-ny/995232 | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 26, 2023 through Aug 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4238 | CT | MD | Clinical Psychologist |
| 025014 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656806400000",
"number": "1407589914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 BEACHMONT TER",
"city": "NORTH CALDWELL",
"state": "NJ",
"postal_code": "070064617",
"telephone_number": "973-979-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 FIFTH AVE",
"address_2": "STE 704 PMB 18",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "973-922-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREITAG",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-03",
"last_updated": "2022-07-03",
"certification_date": "2022-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "4238",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "025014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.psychologytoday.com/us/therapists/stephanie-freitag-new-york-ny/995232",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "276 Fifth Ave",
"address_2": "Ste 704 PMB 18",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "10001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; 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.