MRS. JEANNE M FREED (NPI# 1548582901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548582901 |
| Entity Type | Individual |
| Full Name | MRS. JEANNE M FREED |
| Credential | M.A., ATR-BC, LCAT |
| Practice Address |
939 Johnson Ave Ronkonkoma NY 11779-6066 |
| Practice Telephone | 6314717242 |
| Practice Fax Number | 6314715150 |
| Mailing Telephone | 6314717242 |
| Mailing Fax Number | 6314715150 |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 221700000X | Art Therapist | 001329 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1578516738 | 05 |
| Street Address |
939 JOHNSON AVE |
| City | RONKONKOMA |
| State | NY |
| Zip Code | 11779-6066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578516738 | Association for Mental Health and Wellness Inc | Case Management | 939 Johnson Ave, Ronkonkoma, NY 11779-6066 | 2006-05-18 |
| 1154941797 | Brianna Oliveri | Social Worker | 939 Johnson Ave, Ronkonkoma, NY 11779-6066 | 2020-04-23 |
| 1861021230 | Christina Wieczorek | Social Worker | 939 Johnson Ave, Ronkonkoma, NY 11779-6066 | 2020-04-07 |
| 1336778703 | Linda S Rosasco | Social Worker | 939 Johnson Ave, Ronkonkoma, NY 11779-6066 | 2020-04-07 |
| 1154950525 | Keira Conrad | Social Worker | 939 Johnson Ave, Ronkonkoma, NY 11779-6066 | 2020-04-07 |
| 1366071730 | Stephen John Boose | Social Worker | 939 Johnson Ave, Ronkonkoma, NY 11779-6066 | 2020-04-07 |
| 1376179630 | Michael Baptiste | Social Worker | 939 Johnson Ave, Ronkonkoma, NY 11779-6066 | 2020-03-19 |
| 1356974299 | Dominique Nicole Zummo | Social Worker | 939 Johnson Ave, Ronkonkoma, NY 11779-6066 | 2020-02-19 |
| 1891338638 | Jillian Sarah Aiello | Social Worker | 939 Johnson Ave, Ronkonkoma, NY 11779-6066 | 2019-10-24 |
| 1578105904 | John Charles Mutziger Jr. | Counselor | 939 Johnson Ave, Ronkonkoma, NY 11779-6066 | 2019-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750929139 | Sebastian Godinez | Student in an Organized Health Care Education/Training Program | 11 First Street, Ronkonkoma, NY 11779 | 2019-12-16 |
| 1487149860 | John Deming | Student in an Organized Health Care Education/Training Program | 142 - 02 20th Avenue, Flushing, NY 11779 | 2018-06-27 |
| 1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
| 1932621935 | Vincent Joseph Lopreto | Counselor | 253 Lake Shore Road, Ronkonkoma, NY 11779 | 2017-07-11 |
| 1598295271 | Dalas Taddeo | Licensed Practical Nurse | 4490 Express Drive S, Ronkonkoma, NY 11779 | 2017-06-15 |
| 1790214112 | Pamela Ferrante | Social Worker | 131 Avenue D, Ronkonkoma, NY 11779 | 2017-06-08 |
| 1255868915 | Bari Home Care LLC | Health Maintenance Organization | 4417 Express Drive North, Ronkonkoma, NY 11779 | 2017-05-12 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1831552025 | Jacqueline Galdamez | Social Worker | 979 Johnson Avenue, Ronkonkoma, NY 11779 | 2016-04-04 |
| 1891192530 | Alex Mitchell Pollack | Massage Therapist | 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 | 2014-11-24 |
| Find all providers in zip 11779 | ||||
| Taxonomy Code | 221700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Art Therapist |
| (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881663 | Lauren Amigo | Art Therapist | 86 Fleet Pl Apt 5t, Brooklyn, NY 11201-7132 | 2020-11-06 |
| 1912505249 | Matthew Broad | Art Therapist | 1 Mustard St Ste 240250, Rochester, NY 14609-6980 | 2020-10-09 |
| 1275149221 | Dawn M. Giunta-carr | Art Therapist | 31 Boone St, Bethpage, NY 11714-4114 | 2020-09-16 |
| 1811503873 | Emily Abramson | Art Therapist | 57 Hedges Banks Dr, East Hampton, NY 11937-3506 | 2020-09-16 |
| 1497367783 | Lisa Mirabile | Art Therapist | 7020 17th Ave Apt 2, Brooklyn, NY 11204-5153 | 2020-08-19 |
| 1730798497 | Ashley Kile | Art Therapist | 72 Saint Nicholas Ave Apt 3g, New York, NY 10026-2956 | 2020-07-29 |
| 1184232738 | Lauren Campbell | Art Therapist | 13 Valleywood Dr, Huntington Station, NY 11746-1326 | 2020-07-20 |
| 1407464498 | Juniper Meadowlark Monypenny | Art Therapist | 1235 Halsey St, Brooklyn, NY 11237-6231 | 2020-07-16 |
| 1932726460 | Larissa Hema Hall Ramos | Art Therapist | 65 Roosevelt Ave Ste 100a, Valley Stream, NY 11581-1106 | 2020-06-30 |
| 1427675289 | Margaret Munroe Lines | Art Therapist | 148 26th St, Brooklyn, NY 11232-1788 | 2020-06-28 |
| Find all providers with the same taxonomy | ||||
| City | RONKONKOMA |
| Zip Code | 11779 |
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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.