Organization Active NPI

Carrie Freedheim MD PLLC

  • Psychiatry Physician
  • Tucson, AZ
National Provider Identifier
1518166529
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
26780 Issued in AZ
Legal business name
CARRIE FREEDHEIM MD PLLC
Practice address
5930 E Pima St
Suite 130
Tucson, AZ 85712-4370
Phone
(520) 296-3711
Fax
(520) 296-2193
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Carrie K Freedheim, MD
Title
Owner
Phone
(520) 296-3711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 26780 AZ Primary

Addresses

Primary practice location

5930 E Pima St
Suite 130
Tucson, AZ 85712-4370

Mailing address

5930 E Pima St
Suite 130
Tucson, AZ 85712-4370
Phone (520) 296-3711

National Provider Directory

National Provider Directory

Locations

5930 E Pima St
Ste 130
Tucson, AZ 85712
Phone (520) 296-3711

2102 N Country Club Rd
Ste 4
Tucson, AZ 85716
Phone (520) 325-6633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1518166529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 E PIMA ST",
            "address_2": "SUITE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124370",
            "telephone_number": "520-296-3711",
            "fax_number": "520-296-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 E PIMA ST",
            "address_2": "SUITE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124370",
            "telephone_number": "520-296-3711",
            "fax_number": "520-296-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE FREEDHEIM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "FREEDHEIM",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-296-3711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "26780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.