Individual provider Active NPI

Henry Theodore Freeland, M.D.

  • Psychiatry Physician
  • Alameda, CA
National Provider Identifier
1801829965
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G21044 Issued in CA
Practice address
512 Westline Dr
Suite 203
Alameda, CA 94501-7649
Phone
(510) 521-4323
Fax
(510) 521-5623
NPI assigned
Jul 9, 2006
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
Psychiatry Physician 2084P0800X G21044 CA Primary

Addresses

Primary practice location

512 Westline Dr
Suite 203
Alameda, CA 94501-7649

Mailing address

155 Pershing Dr
Oakland, CA 94611-3232
Phone (510) 521-4323

Other identifiers 1

IdentifierTypeStateIssuer
00G210441MedicaidCA

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: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21044CAMDChiropractor
G21044CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801829965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 PERSHING DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946113232",
            "telephone_number": "510-521-4323",
            "fax_number": "510-521-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 WESTLINE DR",
            "address_2": "SUITE 203",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945017649",
            "telephone_number": "510-521-4323",
            "fax_number": "510-521-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREELAND",
        "first_name": "HENRY",
        "middle_name": "THEODORE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G21044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G210441",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.