Suzanna Lynn Freerksen, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A132676 Issued in CA

Practice address

913 Willow St Ste 103
San Jose, CA 95125-2380

Phone

(669) 242-5151

Fax

(669) 242-5152

NPI assigned

Jun 18, 2009

Last updated

Nov 8, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Neurology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2009

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Suzanna Freerksen, MD, Inc.

  dba Reclaim Joy Medical

  • Psychiatry Physician
  • Santa Clara, CA
  • NPI 1619449105
  Medicare reassignment NPD Authorized official
• Traditions Psychiatry Group, P.C

  dba Traditions Behavioral Health

  • Psychiatry Physician
  • Santa Rosa, CA
  • NPI 1083802979
  Medicare reassignment NPD

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1881821791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 STEVENS CREEK BLVD STE 40141",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171141",
            "telephone_number": "669-242-5151",
            "fax_number": "669-242-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 WILLOW ST STE 103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252380",
            "telephone_number": "669-242-5151",
            "fax_number": "669-242-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREERKSEN",
        "first_name": "SUZANNA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD.31471",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A132676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freedom Choice Healthcare Inc (Freedom Choice Clinic)
• Sinora Freeland
• Tamieka Freelon
• Matthew Eric Freeman, D.D.S, M.S.
• Shayla Freeman
• Juan Alberto Fregoso
• Vanessa Fregoso
• Venessa Natali Fregoso
• Rachel Freiberg Tano, MS, RDN
• Brianna Freitas

• Psychiatry Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.