Jeremy Freeman, LP

Primary specialty

PsychoanalystTaxonomy code 102L00000X

Practice address

12 Beach Rd
Port Jervis, NY 12771-1307

Phone

(845) 702-8044

NPI assigned

Aug 10, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jeremy a. Freeman Psychoanalysis

  • Psychoanalyst
  • Port Jervis, NY
  • NPI 1679326102
  NPD Authorized official

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1669155131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MOUNTAIN RD",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201839",
            "telephone_number": "845-702-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BEACH RD",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127711307",
            "telephone_number": "845-702-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JEREMY",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "TX",
            "license": "001180",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Jane Fernandez, NP
• Krista Fitzgerald
• Elizabeth Fitzpatrick, NP
• Timothy Fitzpatrick, PHARMD
• Dayana Flores
• Trisha Marie Fuller
• Janan Virginia Furlong, LCSW
• Irma Elisabeth Gehrung, RN
• Genevieve Clineman LCSW
• Charleny Genoval

• Psychoanalyst in Port Jervis, NY
• Providers in Port Jervis, NY by specialty
• Psychoanalyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.