Maria Fredrick

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

9 Emmalon Ave
White Plains, NY 10603-1704

Phone

(347) 260-2017

NPI assigned

Feb 4, 2014

Last updated

Aug 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maria Villarreal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1942624499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EMMALON AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106031704",
            "telephone_number": "347-260-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EMMALON AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106031704",
            "telephone_number": "347-260-2017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4223 79th St",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113733056",
            "country_code": "US",
            "telephone_number": "347-260-2017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDRICK",
        "first_name": "MARIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "VILLARREAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Idil Franko, PSYD
• Donovan Franks
• Jane A Franks, M.S.
• Jessica Lynn Franzoso
• Aisha Fraser
• Sharon M Freedberg, DSW MSW LCSW
• Richard G Freeman, MD
• Clint Frehill
• Alessandrina Marie Freitas, M.D.
• Kristina Freshour, RD

• Specialist in White Plains, NY
• Providers in White Plains, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.