Active NPI
Page Freyermuth
- Psychologist
- Corte Madera, CA
National Provider Identifier
1982251005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY35598
- Practice address
- 100 Meadowcreek Dr Ste 115
Corte Madera, CA 94925-1230 - Phone
- (415) 840-0844
- NPI assigned
- Aug 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychologist | 103T00000X | PSY35598 | CA | Primary |
Addresses
Primary practice location
100 Meadowcreek Dr Ste 115
Corte Madera, CA 94925-1230
Mailing address
912 Cole St # 368
San Francisco, CA 94117-4316
Phone (415) 840-0844
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY35598 | CA | MD | Psychologist |
Interoperability endpoints
- page.freyermuth.1@28621.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1982251005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 COLE ST # 368",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941174316",
"telephone_number": "415-840-0844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEADOWCREEK DR STE 115",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251230",
"telephone_number": "415-840-0844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREYERMUTH",
"first_name": "PAGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-22",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY35598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corte Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.