Individual provider Active NPI

Lynne J Freeman Kirnon, PSY.D

  • Clinical Psychologist
  • Langhorne, PA
National Provider Identifier
1710933056
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015642 Issued in PA
Practice address
668 Woodbourne Rd Ste 104
Langhorne, PA 19047-1820
Phone
(267) 223-7669
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS015642 PA Primary

Addresses

Primary practice location

668 Woodbourne Rd Ste 104
Langhorne, PA 19047-1820

Mailing address

292 Sequoia Dr
Newtown, PA 18940-9275
Phone (267) 223-7669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051220000613 PA Practitioner - Clinical Psychologist 5597787416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

680 Middletown Blvd
Suite 205
Langhorne, PA 19047-1817
Phone (267) 223-7669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS015642PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lynne J Freeman PSYD PC Clinical CurrentSince Dec 15, 2018 Accepting new patients
Michael V Oliveri Current Accepting new patients

Locations

680 Middletown Blvd
Ste 205
Langhorne, PA 19047
Phone (267) 223-7669

Organizations & group practices 2

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1710933056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 SEQUOIA DR",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189409275",
            "telephone_number": "267-223-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 WOODBOURNE RD STE 104",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471820",
            "telephone_number": "267-223-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN KIRNON",
        "first_name": "LYNNE",
        "middle_name": "J",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.