Gary M Freudenthal, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

001964 Issued in CT

Practice address

20 Research Pkwy
Old Saybrook, CT 06475-4214

Phone

(800) 370-3651

Fax

(860) 510-0020

NPI assigned

Jun 22, 2005

Last updated

Jul 27, 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

Enrolled in FL

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, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

I-Bos Counseling Center, LLCGroup PAC ID 4587062864, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/soundcommunityservices/r4/

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.

• I-Bos Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Cape Coral, FL
  • NPI 1851529150

  Clinical

  Medicare reassignment Care Compare group NPD
• CPS, LLC (Consultant Psychiatric Services)

  • Nurse Practitioner
  • Collinsville, CT
  • NPI 1639361819
  NPD (past)
• Harvey L. Ruben,MD PC

  • Psychiatry Physician
  • Woodbridge, CT
  • NPI 1184744427
  NPD (past)
• Sound Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New London, CT
  • NPI 1396700886
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1518963784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BOKUM RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751207",
            "telephone_number": "860-227-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PKWY",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754214",
            "telephone_number": "800-370-3651",
            "fax_number": "860-510-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUDENTHAL",
        "first_name": "GARY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Izabela Anna Ferrer, DO
• John H Fidler III, DPT
• Laura Rydelek Fitzgerald, N.P.
• Cathryn M Flanagan, ND
• Craig Kenneth Foisie, D.M.D.
• Larry Freundlich
• Lisa Beth Galasso, PH.D.
• Margaret Garrison
• Robert Joseph Gassman, R.D.
• Steven Anthony Gaudio, M.D.

• Clinical Psychologist in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.