Individual provider Active NPI

Michael Rudolph Freda, MFT

  • Marriage & Family Therapist
  • Reno, NV
National Provider Identifier
1730242785
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0791 Issued in NV
Practice address
3650 Warren Way
Reno, NV 89509-5240
Phone
(775) 823-4080
Fax
(775) 823-4099
NPI assigned
Dec 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0791 NV Primary

Addresses

Primary practice location

3650 Warren Way
Reno, NV 89509-5240

Mailing address

3650 Warren Way
Reno, NV 89509-5240
Phone (775) 823-4080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0791NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Solutions LLC Marriage & Family Therapist CurrentSince Mar 18, 2024 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Mar 18, 2024 Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5044

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730242785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 WARREN WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095240",
            "telephone_number": "775-823-4080",
            "fax_number": "775-823-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 WARREN WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095240",
            "telephone_number": "775-823-4080",
            "fax_number": "775-823-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDA",
        "first_name": "MICHAEL",
        "middle_name": "RUDOLPH",
        "name_prefix": "Dr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.