Shira R Freudenberger, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI 00494700 Issued in NJ

Practice address

115 Elmwood Ave
Passaic, NJ 07055-2410

Phone

(973) 778-6320

NPI assigned

Apr 23, 2012

Last updated

Apr 23, 2012By the provider in NPPES

Sex

Female

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 NJ

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shira Freudenberger PSYD LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1114807591
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1508124959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ELMWOOD AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552410",
            "telephone_number": "973-778-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ELMWOOD AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552410",
            "telephone_number": "973-778-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUDENBERGER",
        "first_name": "SHIRA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI 00494700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomas K Fong-Soto, D.D.S
• Foot and Ankle Care of Passaic LLC
• Foot and Ankle Care Podiatry PLLC
• Moriah Irene Frailey, LCSW
• Nancy I Franceschi
• William A Freundlich, DPM
• Carlos Frias, M.D.
• Sorah Golda Friedman
• Tali E. Friedman, LCSW
• Elyse Joy Fritzsch, LCSW

• Clinical Psychologist in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.