Reena C Freeman PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1503 Issued in SC

Legal business name

REENA C FREEMAN PSYD LLC

Practice address

102 Renaissance Cir
Mauldin, SC 29662

Phone

(864) 214-4303

NPI assigned

Aug 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Reena C FreemanNPI 1497983258

Title

Licensed Psychologist

Phone

(864) 214-4303

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reena C Freeman, PSY.D.

  • Clinical Psychologist
  • Mauldin, SC
  • NPI 1497983258
  NPD Authorized official

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1750860094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RENAISSANCE CIR",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RENAISSANCE CIR",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "29662",
            "telephone_number": "864-214-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REENA C FREEMAN PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "REENA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "864-214-4303",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Lister Proctor, PT, DPT
• Publix Super Markets Inc (Publix Pharmacy #1012)
• Publix Super Markets Inc (Publix Pharmacy #2100)
• Milca Crystal Puello
• Purdieinc, LLC (Foot Solutions Greenville)
• Revive Spinal Care, LLC (Revive Spinal Care)
• Regina X Richardson
• Jacqueline Riopel
• Lisa Rist, MA, LPC-I
• Elemaniel Rivera Labault, RPH

• Clinical Psychologist in Mauldin, SC
• Providers in Mauldin, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.