Larry Freundlich

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000326 Issued in CT

Practice address

322 Main St
Old Saybrook, CT 06475-2350

Phone

(860) 395-3190

Fax

(860) 395-3189

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1740309566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 MAIN ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752350",
            "telephone_number": "860-395-3190",
            "fax_number": "860-395-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MAIN ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752350",
            "telephone_number": "860-395-3190",
            "fax_number": "860-395-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUNDLICH",
        "first_name": "LARRY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "000326",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "000326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John H Fidler III, DPT
• Laura Rydelek Fitzgerald, N.P.
• Cathryn M Flanagan, ND
• Craig Kenneth Foisie, D.M.D.
• Gary M Freudenthal, PSYD
• Lisa Beth Galasso, PH.D.
• Margaret Garrison
• Robert Joseph Gassman, R.D.
• Steven Anthony Gaudio, M.D.
• Brittany Giammalvo, RPA-C

• Mental Health Counselor in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.