DR. EDWARD WILLIAM FREEDMAN (NPI# 1053487306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053487306 |
Entity Type | Individual |
Full Name | DR. EDWARD WILLIAM FREEDMAN |
Credential | MD |
Practice Address |
1621 114th Ave Se Suite 221 Bellevue WA 98004-6956 |
Mailing Address |
8411 Midland Rd Medina WA 98039-5337 |
Practice Telephone | 4254559900 |
Practice Fax Number | 4256889987 |
Mailing Telephone | 4254559900 |
Mailing Fax Number | 4256889987 |
Enumeration Date | 2006-11-28 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD00012614 | WA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962660837 | Edward Freedman | Physical Therapist | 3 S Wig Hill Rd, Chester, CT 06412-1106 | 2008-05-28 |
Street Address |
1621 114TH AVE SE SUITE 221 |
City | BELLEVUE |
State | WA |
Zip Code | 98004-6956 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528028446 | Peter Scheenstra Msw Inc | Case Management | 1621 114th Ave Se, Suite 224, Bellevue, WA 98004 | 2006-03-24 |
1922464197 | Jason Earl Dodd | Social Worker | 1621 114th Ave Se, Suite 224, Bellevue, WA 98004-6956 | 2016-01-04 |
1083965321 | Kenneth R King Md Ps | Psychoanalyst | 1621 114th Ave Se, Ste 210, Bellevue, WA 98004-6956 | 2012-09-26 |
1679702500 | Catherine Lea Thorpe | Counselor | 1621 114th Ave Se, Suite 221, Bellevue, WA 98004-6956 | 2009-07-13 |
1629229075 | Carrie S Erickson | Marriage & Family Therapist | 1621 114th Ave Se, Ste 224, Bellevue, WA 98004-1111 | 2008-10-03 |
1598941593 | Hemlata Mistry | Counselor | 1621 114th Ave Se, Suite 224, Bellevue, WA 98004-6956 | 2008-01-21 |
1861676785 | Carol E. Larsen | Counselor | 1621 114th Ave Se, Suite 224, Bellevue, WA 98004-6956 | 2007-12-27 |
1952583023 | Alba Catalina Zuniga | Counselor | 1621 114th Ave Se, Bellefield Officepark. The Arbor Building Suite 224, Bellevue, WA 98004-6956 | 2007-11-30 |
1306048699 | Peter Scheenstra | Social Worker | 1621 114th Ave Se, Suite 224, Bellevue, WA 98004-6956 | 2007-05-31 |
1013121441 | Esther Karson | Psychologist | 1621 114th Ave Se, Suite 221, Bellevue, WA 98004-6956 | 2007-05-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
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Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710223896 | Jack Raskin | Psychiatry & Neurology | 2624 161st Ave Se, Bellevue, WA 98008-5424 | 2012-12-18 |
1306000898 | Amy Lazar | Psychiatry & Neurology | 11820 Northup Way Ste E200, Bellevue, WA 98005-1966 | 2008-07-14 |
1497883326 | John Creighton Rose | Psychiatry & Neurology | 14030 Ne 24th St Ste 104, Bellevue, WA 98007-3731 | 2007-03-01 |
1023265188 | Romelia Perez | Psychiatry & Neurology | 1611 116th Ave Ne, Suite 132, Bellevue, WA 98004-3045 | 2008-08-20 |
1134385719 | Alicia Grattan Jorgenson | Psychiatry & Neurology | 1135 116th Ave Ne, Suite 400, Bellevue, WA 98004-4623 | 2008-08-02 |
1013177237 | Ashok Shimoji-krishnan | Psychiatry & Neurology | 13451 Se 36th St, Bellevue, WA 98006-1475 | 2008-06-11 |
1871648204 | Carola E Bosenberg | Psychiatry & Neurology | 1611 116th Ave Ne, Suite 218, Bellevue, WA 98004-3045 | 2007-01-24 |
1851465959 | Irving J Kohlberg | Psychiatry & Neurology | 1300 114th Ave Se, Suite 115, Bellevue, WA 98004-6942 | 2006-11-20 |
1699849703 | John F Pastor | Psychiatry & Neurology | 1300 114th Ave Se, Suite 115, Bellevue, WA 98004-6942 | 2006-11-20 |
1609960368 | Andrea Eisner | Psychiatry & Neurology | 1135 116th Ave Ne, Suite 400, Bellevue, WA 98004-4623 | 2006-10-03 |
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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.