NPIMap

Organization Active NPI

Lynne J Freeman PSYD PC

  • Clinical Psychologist
  • Langhorne, PA
National Provider Identifier
1841767555
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LYNNE J FREEMAN PSYD PC
Practice address
680 Middletown Blvd Ste 205
Langhorne, PA 19047-1817
Phone
(267) 223-7669
Fax
(267) 685-0112
NPI assigned
Oct 31, 2018
Last updated
Oct 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Lynne Freeman, PSYD
Title
Owner
Phone
(908) 553-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

680 Middletown Blvd Ste 205
Langhorne, PA 19047-1817

Mailing address

292 Sequoia Dr
Newtown, PA 18940-9275
Phone (908) 553-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190304002620 PA Part B Supplier - Clinic/Group Practice 1557600848 Receives reassigned benefits from 1 practitioner
Practice locations: Langhorne, PA; Levittown, PA

National Provider Directory

National Provider Directory

Locations

680 Middletown Blvd
Ste 205
Langhorne, PA 19047
Phone (267) 223-7669

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1841767555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 SEQUOIA DR",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189409275",
            "telephone_number": "908-553-0001",
            "fax_number": "267-685-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 MIDDLETOWN BLVD STE 205",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471817",
            "telephone_number": "267-223-7669",
            "fax_number": "267-685-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNE J FREEMAN PSYD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-553-0001",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.