Jacqueline D Freedman, PSY. D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

35SI00603000 Issued in NJ

Practice address

748 Morris Tpke Ste 207
Short Hills, NJ 07078-2617

Phone

(973) 809-9683

NPI assigned

Jan 21, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1558835876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 GODWIN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503710",
            "telephone_number": "973-809-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 MORRIS TPKE STE 207",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782617",
            "telephone_number": "973-809-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "JACQUELINE",
        "middle_name": "D",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "35SI00603000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Ferrick, DPT
• Robert Michael Fischbein, M.D.
• Steven Alan Fischkoff, M.D.
• Jennifer Nicole Fox, OTD, OTR/L
• Howard Jonathan Frankel, M.D.
• Beverly Friedlander, M.D.
• Rachel Friedman
• Akira L Frierson Wood, APRN
• Marina Gadaborshev, D.C.
• Samet Galiboglu, MD

• Clinical Child & Adolescent Psychologist in Short Hills, NJ
• Providers in Short Hills, NJ by specialty
• Clinical Child & Adolescent Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.