Active NPI
Cecilia Micaela Freire, PSYD
- Clinical Psychologist
- Hoboken, NJ
National Provider Identifier
1689403487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 243-045
- Practice address
- 80 River St Ste 302
Hoboken, NJ 07030-5619 - Phone
- (917) 592-6556
- NPI assigned
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 243-045 | NJ | Primary |
Addresses
Primary practice location
80 River St Ste 302
Hoboken, NJ 07030-5619
Mailing address
88 Clinton St Apt 2
Hoboken, NJ 07030-2495
Phone (917) 592-6556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243-045 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1689403487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 CLINTON ST APT 2",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070302495",
"telephone_number": "917-592-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 RIVER ST STE 302",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305619",
"telephone_number": "917-592-6556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREIRE",
"first_name": "CECILIA",
"middle_name": "MICAELA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "243-045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.