Individual provider Active NPI

Desrene Debbie Ann Freemand, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1528214426
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
191939 Issued in PA
Practice address
520 N Delaware Ave
Philadelphia, PA 19123-4226
Phone
(215) 707-2577
Fax
(215) 707-3363
NPI assigned
Aug 11, 2008
Last updated
Feb 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 191939 PA Primary

Addresses

Primary practice location

520 N Delaware Ave
Philadelphia, PA 19123-4226

Mailing address

502 Mill Rd
Hatfield, PA 19440-1231
Phone (215) 837-2033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160503000916 PA Order and Referring Only - PsychiatryPractitioner - Psychiatry 1951586775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
191939PAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1528214426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MILL RD",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194401231",
            "telephone_number": "215-837-2033",
            "fax_number": "215-886-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N DELAWARE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191234226",
            "telephone_number": "215-707-2577",
            "fax_number": "215-707-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAND",
        "first_name": "DESRENE",
        "middle_name": "DEBBIE ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "191939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.