Mavis I. Freeman

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

728470 Issued in CA

Practice address

3905 San Pablo Dam Rd
El Sobrante, CA 94803-2823

Phone

(510) 390-5467

Fax

(510) 229-3022

NPI assigned

Sep 22, 2025

Last updated

Sep 22, 2025By 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 13

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Catalyst Cares Adult Day Program

  • Developmentally Disabled Services Day Training Agency
  • El Sobrante, CA
  • NPI 1245093483

  Day Training, Developmentally Disabled Services

  NPD Authorized official
• Catalyst Cares Empowerment Center

  • Community/Behavioral Health Agency
  • Richmond, CA
  • NPI 1811869795

  Day Training, Developmentally Disabled Services

  NPD Authorized official
• Catalyst Cares Home Care Agency

  • Home Health Agency
  • Fremont, OH
  • NPI 1902778830

  Day Training, Developmentally Disabled Services

  NPD Authorized official
• Harvest Point Behavioral Center, LLC

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1477475374
  Authorized official Same address or phone
• Harvest Point Behavioral Center, LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1003734195
  Authorized official Same address or phone

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1518839398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 SAN PABLO DAM RD",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948032823",
            "telephone_number": "510-390-5467",
            "fax_number": "510-229-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 SAN PABLO DAM RD",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948032823",
            "telephone_number": "510-390-5467",
            "fax_number": "510-229-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "MAVIS",
        "middle_name": "I.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": "728470",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "728470",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IN",
            "license": "28286205C",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "728470",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "728470",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "728470",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "CA",
            "license": "728470",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CA",
            "license": "728470",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "728470",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "728470",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "CA",
            "license": "728470",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "CA",
            "license": "728470",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "728470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Ryan Ferrell
• Kayla Simone Fields
• Danielle Dubois Flax
• Constance Florendo
• Free Tran LLC
• Laura Ruth Friedeberg
• Karen Louise Fuko
• Molly Fullenkamp, LAC
• Jerome Matthew Gage Jr
• Marco Galasso

• Critical Care Medicine Registered Nurse in El Sobrante, CA
• Providers in El Sobrante, CA by specialty
• Critical Care Medicine Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.