Jillian Freitas, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-1747 Issued in HI

Practice address

95 Mahalani St RM 21
Wailuku, HI 96793-2521

Phone

(808) 244-4647

NPI assigned

Sep 15, 2014

Last updated

Nov 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care Physician Enterprise LLCGroup PAC ID 0244661338, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Primary Care Physician Enterprise LLC

  dba Empower Health

  • Clinic/Center
  • Ewa Beach, HI
  • NPI 1164054763
  Medicare reassignment Care Compare group NPD
• University Clinical Education & Research Associates

  dba Ucera

  • Specialist
  • Honolulu, HI
  • NPI 1013966845
  Medicare reassignment NPD
• University Clinical Education & Research Associates

  dba University Health Partners of Hawaii

  • Clinical Medical Laboratory
  • Honolulu, HI
  • NPI 1659971489
  NPD

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1811398357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MAHALANI ST RM 21",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932521",
            "telephone_number": "808-244-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MAHALANI ST RM 21",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932521",
            "telephone_number": "808-244-4647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5091 Uakea Rd",
            "address_purpose": "LOCATION",
            "city": "Hana",
            "state": "HI",
            "postal_code": "96713",
            "country_code": "US",
            "telephone_number": "808-248-7502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREITAS",
        "first_name": "JILLIAN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500673381",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Edward Fowler, LMT
• Stephen Fox, LSW
• Francis Y. Kihara D.D.S. Inc.
• Mathew Evan Frank, ED.S.
• Carol Geer Freitas, LCSW
• Sharlene Freitas
• Susan Frieder, PH.D.
• George Jay Friedman, PH.D.
• Anthony Friscia
• Elle K Fujimoto, PA-C

• Clinical Psychologist in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.