Jon Tyler Freeman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

014346-1 Issued in NY

Practice address

423 W 55TH St
Floor 4
New York, NY 10019-4460

Phone

(212) 994-5100

Fax

(212) 994-5101

NPI assigned

Apr 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508989096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 W 55TH ST",
            "address_2": "FLOOR 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194460",
            "telephone_number": "212-994-5100",
            "fax_number": "212-994-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 W 55TH ST",
            "address_2": "FLOOR 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194460",
            "telephone_number": "212-994-5100",
            "fax_number": "212-994-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JON",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014346-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Paul Freeman, M.D.
• Irene Freeman, NP
• Janis E Freeman, FNP-C
• Jessica A. Freeman, LMHC
• Jillian Freeman, LMSW
• Kevin W Freeman, DPT
• Laurie B Freeman, PHD
• Lina Michelle Freeman, MD
• Linda Freeman, MD
• Mary Freeman, LCSW

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.