Freely Living Ocd and Anxiety Therapy, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

FREELY LIVING OCD AND ANXIETY THERAPY, LLC

Practice address

360 S Madison Ave Ste 204
Greenwood, IN 46142-3117

Phone

(317) 939-5966

Fax

(317) 967-6829

NPI assigned

Jan 4, 2021

Last updated

Jan 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alyssa Hoffman, PSYD, HSPPNPI 1306387790

Title

Licensed Clinical Psychologist

Phone

(612) 986-6619

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Alyssa Hoffman, PSY.D.

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1306387790
  NPD Authorized official

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1912595190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S MADISON AVE STE 204",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461423117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S MADISON AVE STE 204",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461423117",
            "telephone_number": "317-939-5966",
            "fax_number": "317-967-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREELY LIVING OCD AND ANXIETY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-986-6619",
        "authorized_official_credential": "PSYD, HSPP"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Lewis Frazier, PA-C
• Jasmin Frazier, RN
• Nichole Frazier
• Paula Frazier, RBT
• Courtney Frederick
• Rebecca Anne Fries, MA, BCBA
• Shelley Ann Fries, MA, BCBA
• Brandi Nicole Fritsche, FNP
• Stephanie Anne Frosch
• Daniella Frost

• Adolescent and Children Mental Health Clinic/Center in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Adolescent and Children Mental Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.