Freedom Behavioral Healthcare

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

FREEDOM BEHAVIORAL HEALTHCARE

Practice address

4612 E Street Rd
Trevose, PA 19053-6612

Phone

(267) 699-3000

NPI assigned

Jan 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Cesar Fabiani, MD

Title

Suboxone Maintenance Doctor

Phone

(126) 769-9300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Beth Bush, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Feasterville Trevose, PA
  • NPI 1780167940
  NPD (past)

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1619414232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GERMANTOWN PIKE",
            "address_2": "BLDG G-5",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622480",
            "telephone_number": "610-941-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 E STREET RD",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536612",
            "telephone_number": "267-699-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "FABIANI",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "SUBOXONE MAINTENANCE DOCTOR",
        "authorized_official_telephone_number": "126-769-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Phillip Fair, PHARM.
• Zachary Ficano
• Arnold David Fienman, DDS
• Fox Chase Pain Management Associates, PC
• Fred Norman LLC
• Freedom Medical Suply, Inc.
• Gay L Fried, MD
• Kevin Fripps
• Kathleen A Gant, CPNP-PC
• Colleen Joan Garneau, R.N.

• All providers in Trevose, PA
• Exclusive Provider Organization in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.