Individual provider Active NPI

Katherin Leigh Freeman, M.D.

  • Child & Adolescent Psychiatry Physician
  • Reno, NV
National Provider Identifier
1669446472
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
23206 Issued in NV
Practice address
75 Pringle Way Ste 300
Reno, NV 89502-8425
Phone
(775) 982-3960
Fax
(775) 982-3727
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 282575 MA
Child & Adolescent Psychiatry Physician 2084P0804X 35232 AL
Child & Adolescent Psychiatry Physician 2084P0804X 23206 NV Primary

Addresses

Primary practice location

75 Pringle Way Ste 300
Reno, NV 89502-8425

Mailing address

1155 Mill St # Msm14
Reno, NV 89502-1576
Phone (775) 982-5262

Other practice location 1

89 Access Rd Ste 24
Norwood, MA 02062-5233
Phone (781) 551-0999

Other identifiers 1

IdentifierTypeStateIssuer
23206OtherNVNV STATE MEDICAL LICENSE

Other names 1

  • Katherin Freeman Sherry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170724001990 AL Practitioner - Psychiatry 8426183161 Reassigns benefits to 1 organization
I20251015004187 CA Practitioner - Psychiatry 8426183161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Vanderbilt University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 Laws Ave
Ukiah, CA 95482-6540

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Feb 1, 2023 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Community Care Services LLC CurrentSince Feb 1, 2023 Accepting new patients
Community Care Services LLC Current Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Aug 1, 2017 Accepting new patients
Mendocino Community Health Clinic, Inc. Current Accepting new patients
Community Care Services LLC Child & Adolescent Psychiatry Past Accepting new patients
Healtherapy of Nevada Past Accepting new patients
Healtherapy of Nevada Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
#709
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

5335 Lakeshore Blvd
Lakeport, CA 95453
Phone (707) 263-7725

333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113

1664 N Virginia St
Reno, NV 89557
Phone (775) 784-1110

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
#14
Reno, NV 89502

85 Kirman Ave
Ste 101
Reno, NV 89502
Phone (775) 329-0222

75 Pringle Way
Ste 300
Reno, NV 89502
Phone (775) 982-3960

Interoperability endpoints

  • Direct secure messaging: kfreeman196244@direct.renown.org

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1669446472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MSM14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY STE 300",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895028425",
            "telephone_number": "775-982-3960",
            "fax_number": "775-982-3727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Access Rd Ste 24",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020625233",
            "country_code": "US",
            "telephone_number": "781-551-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "KATHERIN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "282575",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AL",
            "license": "35232",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NV",
            "license": "23206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV STATE MEDICAL LICENSE",
            "identifier": "23206",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERIN",
            "last_name": "SHERRY",
            "middle_name": "FREEMAN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.