Chanel Freeman NP in Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CHANEL FREEMAN NP IN PSYCHIATRY PLLC

Practice address

349 Cottonwood Dr
Buffalo, NY 14221-1506

Phone

(716) 544-1082

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Chanel Monique Freeman, NPNPI 1679822191

Title

Pmhnp

Phone

(716) 544-1082

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chanel M Freeman, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsville, NY
  • NPI 1679822191
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1609646868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 SHERIDAN DR",
            "address_2": "P.O. BOX 873",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-544-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 COTTONWOOD DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142211506",
            "telephone_number": "716-544-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANEL FREEMAN NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "CHANEL",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "716-544-1082",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Michael Chan, M.D.
• Kevin Kuang Hui Chan, DO
• Meagan Chandarana, PHARMD
• Unjali Chandra
• Praveen Kumar Chandrasekharan, MD
• Mia Chaney, LPN
• Andrew Henry Chang, MD
• Eric Chang, DO
• June Irene Chang, MD
• Lisa Chang, D.D.S.

• Psychiatric/Mental Health Nurse Practitioner in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.