Kamal Fuad Freiha, PSY.D.

Key facts

NPI

1982929303

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Psychologist 103TC0700X

License

PSY23352 (CA)

Practice address

1700 Norbridge Ave
Castro Valley, CA 94546-5700

Phone

(510) 701-5408

NPI assigned

Mar 29, 2010

Sex

Male

Sole proprietor

Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alameda Neuropsych, Inc. Clinical Neuropsychologist · Alameda, CA · NPI 1366725764
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Philosophy

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 23, 2022.

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1982929303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 COTTRELL WAY",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943051012",
            "telephone_number": "510-701-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NORBRIDGE AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465700",
            "telephone_number": "510-701-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIHA",
        "first_name": "KAMAL",
        "middle_name": "FUAD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Castro Valley, CA · Clinical Psychologist in California