Individual provider Active NPI

Jeffrey David Freedman, PH.D.

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1801858626
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS008631L Issued in PA
Practice address
105 Braunlich Dr
Suite #210
Pittsburgh, PA 15237-3348
Phone
(412) 367-9800
Fax
(412) 369-9800
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

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
Clinical Psychologist 103TC0700X PS008631L PA Primary

Addresses

Primary practice location

105 Braunlich Dr
Suite #210
Pittsburgh, PA 15237-3348

Mailing address

105 Braunlich Dr
Suite #210
Pittsburgh, PA 15237-3348

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
I20060405000191 PA Practitioner - Clinical Psychologist 4880652452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spiegel Freedman Psychological AssociatesGroup PAC ID 2365400934, 7 clinicians

Practice addresses (Care Compare)

105 Braunlich Dr
Suite 210
Pittsburgh, PA 15237-3351
Phone (412) 367-9800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS008631LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spiegel Freedman Psychological Associates CurrentSince Apr 1, 2003 Accepting new patients
Vericare of Pennsylvania, P.C. Clinical Past Accepting new patients
June V Isaly & Associates Inc PastSince Feb 20, 1991 Accepting new patients

Locations

934 Forest Ave
Bellevue, PA 15202
Phone (412) 761-1999

105 Braunlich Dr
Ste 210
Pittsburgh, PA 15237
Phone (412) 367-9800

1 Windsor Way
Pittsburgh, PA 15237
Phone (412) 364-6411

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801858626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BRAUNLICH DR",
            "address_2": "SUITE #210",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BRAUNLICH DR",
            "address_2": "SUITE #210",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373348",
            "telephone_number": "412-367-9800",
            "fax_number": "412-369-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008631L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.