Individual provider Active NPI

Colin Freedman, M.D.

  • Child & Adolescent Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1639600166
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
21171 Issued in NV
Practice address
3016 W Charleston Blvd Ste 150
Las Vegas, NV 89102-1964
Phone
(702) 790-2701
NPI assigned
Mar 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 21171 NV
Student in an Organized Health Care Education/Training Program 390200000X
Child & Adolescent Psychiatry Physician 2084P0804X 21171 NV Primary

Addresses

Primary practice location

3016 W Charleston Blvd Ste 150
Las Vegas, NV 89102-1964

Mailing address

3016 W Charleston Blvd Ste 150
Las Vegas, NV 89102-1964
Phone (702) 790-2701

Other practice location 1

660 S Green Valley Pkwy Ste 140
Henderson, NV 89052-0431
Phone (702) 790-2701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20220715001160 NV Practitioner - Psychiatry 8224309737 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Nevada School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unlv MedicineGroup PAC ID 4183991458, 177 clinicians

Practice addresses (Care Compare)

6375 W Charleston Blvd
Suite A100
Las Vegas, NV 89146-1139
Phone (702) 968-4000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Freedman Psychiatry PLLC Psychiatry Current Accepting new patients
Lisa a Durette MD PLLC Psychiatry CurrentSince Dec 1, 2024 Accepting new patients
Lisa a Durette MD PLLC Child & Adolescent Psychiatry CurrentSince Dec 1, 2024 Accepting new patients
Unlv Medicine CurrentSince Jul 15, 2024 Accepting new patients
Unlv Medicine CurrentSince Jul 15, 2024 Accepting new patients
Unlv Medicine Current Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients

Locations

552 E Charleston Blvd
Las Vegas, NV 89104
Phone (702) 440-8440

840 S Rancho Dr
Ste 4337
Las Vegas, NV 89106

6600 W Charleston Blvd
Ste 140
Las Vegas, NV 89146
Phone (702) 440-8440

1701 W Charleston Blvd
Ste 290
Las Vegas, NV 89102
Phone (702) 671-2385

6600 W Charleston Blvd
Ste 142
Las Vegas, NV 89146
Phone (702) 440-8430

526 S Tonopah Dr
Ste 200
Las Vegas, NV 89106
Phone (702) 440-8430

6375 W Charleston Blvd
Ste A100A
Las Vegas, NV 89146
Phone (702) 253-0818

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1639600166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 W CHARLESTON BLVD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021964",
            "telephone_number": "702-790-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 W CHARLESTON BLVD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021964",
            "telephone_number": "702-790-2701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 S Green Valley Pkwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890520431",
            "country_code": "US",
            "telephone_number": "702-790-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "COLIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-26",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "21171",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NV",
            "license": "21171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.