Jeanne M Freed, M.A., ATR-BC, LCAT

Primary specialty

Art TherapistTaxonomy code 221700000X

License

001329 Issued in NY

Practice address

939 Johnson Ave
Ronkonkoma, NY 11779-6066

Phone

(631) 471-7242

Fax

(631) 471-5150

NPI assigned

Feb 25, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/77c2b089-5ae8-473f-98a4-de9173e168aa/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Association for Mental Health and Wellness Inc

  • Community/Behavioral Health Agency
  • Ronkonkoma, NY
  • NPI 1578516738
  NPD (past)

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1548582901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 JOHNSON AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796066",
            "telephone_number": "631-471-7242",
            "fax_number": "631-471-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 JOHNSON AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796066",
            "telephone_number": "631-471-7242",
            "fax_number": "631-471-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREED",
        "first_name": "JEANNE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.A., ATR-BC, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "001329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578516738",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• FPJ Management Inc. (Comfort Ride)
• Francesca Ramos, Nurse Practitioner in Psychiatry PLLC
• Shawn Francis II
• Jennifer R. Franco
• Frank S Segreto MD PC (Elite Sports)
• Jennifer Freeman, MSED
• Paula Jean Fries, LCAT
• Linda Fuller-Miller, MS
• James Paul Galassi, DPT
• Jacqueline Galdamez, LMSW

• Art Therapist in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Art Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.