DR. SHEILA STURGEON FREITAS (NPI# 1134248750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134248750 |
| Entity Type | Individual |
| Full Name | DR. SHEILA STURGEON FREITAS |
| Other Name | DR. SHEILA STURGEON |
| Credential | PH.D. |
| Practice Address |
3709 N Locust Grove Rd Ste 150 Meridian ID 83646-5924 |
| Practice Telephone | 2084754690 |
| Practice Fax Number | 2088994703 |
| Mailing Telephone | 2084754690 |
| Mailing Fax Number | 2088994703 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2010-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-202431 | ID | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY-202431 | ID | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
PSY-202431 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE SHIELD OF IDAHO | 000010168149 | 01 |
| BLUE CROSS OF IDAHO | N6342 | 01 |
| Street Address |
3709 N LOCUST GROVE RD STE 150 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83646-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295983443 | Phyllis Rose Nodler | Counselor | 3709 N Locust Grove Rd Ste 150, Meridian, ID 83646-5924 | 2008-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1356977466 | Tanabell Health Services Inc | Assisted Living Facility | 2584 E Magic View Dr, Meridian, ID 83646 | 2020-03-20 |
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
| 1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
| 1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
| 1609327022 | Finding Home Healthcare, Inc. | Clinic/Center | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 | 2016-10-20 |
| 1952857161 | Mitchell Truong | Pharmacist | 622 E. Ustick Road, Caldwell, ID 83646 | 2016-08-28 |
| 1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
| 1194117366 | Westfall Ventures, Inc | Health Maintenance Organization | 2572 N. Stokesberry Pl, Meridian, ID 83646 | 2015-02-25 |
| Find all providers in zip 83646 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993230 | Morgan Mental Health Group LLC | Psychologist | 4600 W Quarterhorse Ln, Meridian, ID 83642-5438 | 2019-10-12 |
| 1528595329 | Richard D Craig | Psychologist | 2178 W Windchime Dr, Meridian, ID 83646-3535 | 2017-05-11 |
| 1194075994 | Daniel Glen Gibson | Psychologist | 850 E Franklin Rd Ste 404, Meridian, ID 83642 | 2012-09-19 |
| 1285815399 | Serenity Neuropsychology, Pllc | Psychologist | 2498 N Stokesberry Pl Ste 150, Meridian, ID 83646-5150 | 2007-11-16 |
| 1225248370 | Laurie Anne Jensen | Psychologist | 2596 N Stokesberry Pl Ste 125, Meridian, ID 83646-6432 | 2007-05-23 |
| 1740494434 | Roscoe Lormer Douglas | Psychologist | 1207 White Oak Dr, Meridian, MS 39305-1902 | 2007-05-10 |
| 1740314228 | Carolyn Suzanne Golden | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2007-03-15 |
| 1588673545 | View Point Associates | Psychologist | 1711 Millenium Way, Meridian, ID 83642-1511 | 2006-08-07 |
| 1750396537 | Barbara A Ottenhoff | Psychologist | 2965 E Tarpon Dr, Suite 150, Meridian, ID 83642-9009 | 2006-07-30 |
| 1427599885 | Kathleen Michaud Phd LLC | Psychologist | 2498 N Stokesberry Pl, Suite 140, Meridian, ID 83646-5150 | 2017-03-17 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.