Active NPI
Douglas J. Freeman, PH.D.
- Psychologist
- Hickory, NC
National Provider Identifier
1811921299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 834
- Practice address
- 106 3Rd Ave NE
Hickory, NC 28601-5014 - Phone
- (828) 322-8736
- Fax
- (828) 322-7890
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 834 | NC | |
| Psychologist | 103T00000X | 834 | NC | Primary |
Addresses
Primary practice location
106 3Rd Ave NE
Hickory, NC 28601-5014
Mailing address
305 4TH St SW
Hickory, NC 28602-2820
Phone (828) 270-3840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0834 | NC | MD | Optometrist |
| 834 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Counseling Group, P.a. | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Hickory, NC
- NPI 1962541888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508716800000",
"number": "1811921299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 4TH ST SW",
"city": "HICKORY",
"state": "NC",
"postal_code": "286022820",
"telephone_number": "828-270-3840",
"fax_number": "828-270-3840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 3RD AVE NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286015014",
"telephone_number": "828-322-8736",
"fax_number": "828-322-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "DOUGLAS",
"middle_name": "J.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2017-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "834",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.