Freda B Hansburg, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3046 Issued in NJ

Practice address

51 Summit Ave
Summit, NJ 07901-3613

Phone

(908) 273-5558

Fax

(908) 273-3355

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

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.

• Om Psychological Services

  • Clinical Psychologist
  • Summit, NJ
  • NPI 1073474466
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1710075148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 SUMMIT AVENUE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013613",
            "telephone_number": "908-273-5558",
            "fax_number": "908-273-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SUMMIT AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013613",
            "telephone_number": "908-273-5558",
            "fax_number": "908-273-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSBURG",
        "first_name": "FREDA",
        "middle_name": "B",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "3046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leora L Haller, PHD
• John Halperin, MD
• Jennifer Hampson
• David L Hanft, LPC
• John M. Hanna, M.D.
• Happy Health Nutrition LLC
• Laura Harney, MAT, MS, CCC-SLP
• Latasha Renee Hart, PMHNP
• Ferron Devon Hartley, MBBS
• Caitlin Hartsgrove

• Psychologist in Summit, NJ
• Providers in Summit, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.