DR. JON TYLER FREEMAN (NPI# 1508989096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508989096 |
| Entity Type | Individual |
| Full Name | DR. JON TYLER FREEMAN |
| Credential | PH.D. |
| Practice Address |
423 W 55th St Floor 4 New York NY 10019-4460 |
| Practice Telephone | 2129945100 |
| Practice Fax Number | 2129945101 |
| Mailing Telephone | 2129945100 |
| Mailing Fax Number | 2129945101 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
014346-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
423 W 55TH ST FLOOR 4 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-4460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760594295 | Jonathan David Sackner-bernstein | Internal Medicine | 423 W 55th St, 4th Floor, New York, NY 10019-4460 | 2006-08-31 |
| 1891107272 | Nationwide Sleep Testing LLC | Clinic/Center | 423 W 55th St, New York, NY 10019-4460 | 2014-05-20 |
| 1265776520 | Home Sleep and Respiratory Care LLC | Durable Medical Equipment & Medical Supplies | 423 W 55th St, New York, NY 10019-4460 | 2012-11-26 |
| 1184854549 | Maureen Elizabeth Wallace | Psychologist | 423 W 55th St, 4th Floor, New York, NY 10019-4460 | 2009-07-20 |
| 1710193610 | Maha Ahmad | Psychiatry & Neurology | 423 W 55th St, 4th Floor, New York, NY 10019-4460 | 2007-05-15 |
| 1053538181 | Nina A Konstantinova | Internal Medicine | 423 W 55th St, New York, NY 10019-4460 | 2007-04-19 |
| 1427170141 | Medical Service Practice | Clinic/Center | 423 W 55th St, Floor 4, New York, NY 10019-4460 | 2007-04-04 |
| 1063562759 | Stephen Arthur Lund | Psychiatry & Neurology | 423 W 55th St, 4th Floor, New York, NY 10019-4460 | 2007-01-12 |
| 1346391984 | Clinilabs Com Inc | Clinic/Center | 423 W 55th St, 4th Floor, New York, NY 10019-4460 | 2007-01-12 |
| 1033260674 | Gary Kenneth Zammit | Psychologist | 423 W 55th St, 4th Floor, New York, NY 10019-4460 | 2007-01-12 |
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| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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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.