JACQUELINE D FREEDMAN (NPI# 1558835876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558835876 |
| Entity Type | Individual |
| Full Name | JACQUELINE D FREEDMAN |
| Credential | PSY. D. |
| Practice Address |
748 Morris Tpke Ste 207 Short Hills NJ 07078-2617 |
| Mailing Address |
214 Godwin Ave Ridgewood NJ 07450-3710 |
| Practice Telephone | 9738099683 |
| Mailing Telephone | 9738099683 |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
35SI00603000 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
748 MORRIS TPKE STE 207 |
| City | SHORT HILLS |
| State | NJ |
| Zip Code | 07078-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326478157 | Park Road Consulting LLC | Counselor | 2 Park Rd., Short Hills, NJ 07078 | 2013-11-14 |
| 1649594771 | Marcia D. Lite-braus, Lpc, LLC | Counselor | 150 John F. Kennedy Parkway, Suite 100, Short Hills, NJ 07078 | 2010-03-18 |
| 1699810598 | Carole Susan Barabander | Social Worker | 748 Morris Turnpike, Suite 208, Short Hills, NJ 07078 | 2007-02-20 |
| 1750423273 | Marsha Optical Corp | Eyewear Supplier (Equipment, not the service) | 521 Millburn Ave, Short Hills, NJ 07078 | 2007-02-12 |
| 1861584633 | Joseph J Aaron | Internal Medicine | 510 Old Short Hills Road, Short Hills, NJ 07078 | 2006-09-29 |
| 1396850244 | Stephen T Busby | Dentist | 169 Hobart Ave, Short Hills, NJ 07078 | 2006-08-20 |
| 1700891785 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 587 Millburn Ave, Short Hills, NJ 07078 | 2006-07-29 |
| 1841213261 | Nk Health Short Hills LLC | Durable Medical Equipment & Medical Supplies | 40 Chatham Road, Short Hills, NJ 07078 | 2006-07-26 |
| 1891713764 | Priority Medical, Inc. | Specialist/Technologist, Other | 748 Morris Tpke Ste 203, Short Hills, NJ 07078 | 2006-07-18 |
| 1033177555 | Jason Todd Levy | Chiropractor | 532 Old Short Hills Road, Short Hills, NJ 07078 | 2006-05-03 |
| Find all providers in zip 07078 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879984 | Pm Vietze Phd LLC | Psychologist | 957 Cedarbrook Road, Plainfield, NJ 07060-2646 | 2020-07-30 |
| 1275159642 | Family Home Care Services LLC | Psychologist | 7 Glenwood Ave Ste 419c, East Orange, NJ 07017-1065 | 2020-06-22 |
| 1326675034 | Jennifer Yedlin | Psychologist | 540 Queen Anne Rd, Teaneck, NJ 07666-3329 | 2020-03-24 |
| 1669942777 | Psychological & Educational Consulting | Psychologist | 513 W Mount Pleasant Ave Ste 212, Livingston, NJ 07039-1721 | 2018-12-01 |
| 1467949735 | Courtney Anderson, Psyd, LLC | Psychologist | 256 Read St, Lakewood, NJ 08701-5327 | 2018-04-22 |
| 1790282192 | Stefan C. Dombrowski, Ph.d. & Associates, LLC | Psychologist | 4 Eves Dr, Marlton, NJ 08053-3195 | 2018-04-11 |
| 1104338813 | Suzi Millar | Psychologist | 50 Boulevard of Eagles, Edison, NJ 08817-4002 | 2017-11-03 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1477965457 | Courtney Anderson | Psychologist | 40 Avenue At The Cmn Ste 203, Shrewsbury, NJ 07702 | 2014-05-27 |
| 1801140256 | Sheryl Lori Pierre | Psychologist | 128 Bortons Landing Road, Suite 2, Moorestown, NJ 08057 | 2012-11-07 |
| Find all providers with the same taxonomy | ||||
| City | SHORT HILLS |
| Zip Code | 07078 |
Please comment or provide details below to improve the information on JACQUELINE D FREEDMAN.
| 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.