Individual provider Active NPI

Judith Salzman Freilich, M.D.

  • Psychiatry Physician
  • Flagstaff, AZ
National Provider Identifier
1871735027
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20021 Issued in AZ
Practice address
809 W Riordan Rd
Suite 100, #108
Flagstaff, AZ 86001-0801
Phone
(928) 380-4524
Fax
(928) 684-4057
NPI assigned
Apr 2, 2009
Last updated
Apr 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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 20021 AZ Primary

Addresses

Primary practice location

809 W Riordan Rd
Suite 100, #108
Flagstaff, AZ 86001-0801

Mailing address

809 W Riordan Rd
Suite 100, #108
Flagstaff, AZ 86001-0801
Phone (928) 380-4524

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 Medicine

State licenses

LicenseStateTypeSpecialty
20021AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1871735027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W RIORDAN RD",
            "address_2": "SUITE 100, #108",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860010801",
            "telephone_number": "928-380-4524",
            "fax_number": "928-684-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W RIORDAN RD",
            "address_2": "SUITE 100, #108",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860010801",
            "telephone_number": "928-380-4524",
            "fax_number": "928-684-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREILICH",
        "first_name": "JUDITH",
        "middle_name": "SALZMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "20021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.