ANDREW JUSTIN FREEMAN (NPI# 1962002964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962002964 |
| Entity Type | Individual |
| Full Name | ANDREW JUSTIN FREEMAN |
| Credential | PHD |
| Practice Address |
1485 W Warm Springs Rd Ste 109 Henderson NV 89014-7632 |
| Mailing Address |
2505 Hummingbird Hill Ave Henderson NV 89074-7046 |
| Practice Telephone | 7024867500 |
| Mailing Telephone | 7027882820 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY0839 | NV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386854875 | Andrew B. Freeman | Radiology | 801 Ohio Health Blvd Ste 180, Delaware, OH 43015-7883 | 2007-05-23 |
| 1750506028 | Andrew Glen Freeman | Preventive Medicine | 11260 Chester Rd Ste 530, Cincinnati, OH 45246-4048 | 2007-04-13 |
| 1336772870 | Andrew Freeman | Counselor | 239 W 9th St, Upland, CA 91786-5979 | 2020-02-12 |
| 1235769571 | Andrew Wesley Freeman | Student in an Organized Health Care Education/Training Program | 620 Paul Jones Circle, Portsmouth, VA 23708 | 2020-01-24 |
| 1851880322 | Andrew Ian Freeman | Student in an Organized Health Care Education/Training Program | 3550 Terrace Street, Pathology Education Office A711 Scaife Hall, Pittsburgh, PA 15261 | 2018-05-09 |
| 1619410289 | Andrew Freeman | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2016-11-29 |
| 1356745590 | Andrew Freeman | Counselor | 207 Queen St, Morganton, NC 28655-3341 | 2014-10-17 |
| 1184033706 | Andrew Freeman | Massage Therapist | 1017 Sw Morrison St, Suite 411, Portland, OR 97205-2635 | 2014-08-07 |
| 1710309059 | Andrew Jacob Freeman | Counselor | 1626 Clarence Ct, West Bend, WI 53095-8533 | 2014-01-06 |
| 1780948133 | Andrew Craig Freeman | Pathology | 424 S 56th St Ste 110, Phoenix, AZ 85034-2177 | 2012-06-30 |
| Street Address |
1485 W WARM SPRINGS RD STE 109 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014-7632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| 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 |
|---|---|---|---|---|
| 1730523572 | Samantha Christine Flores | Psychologist | 1651 American Pacific Dr, Unit#2303, Henderson, NV 89074-7601 | 2013-04-23 |
| 1730251364 | Randall James Stiles | Psychologist | 522 E Lake Mead Pkwy Ste 5, Henderson, NV 89015-5573 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104437946 | Coates & Doran, Pllc | Psychologist | 1812 Marian Ave, Carson City, NV 89706-2632 | 2020-08-14 |
| 1316495583 | Each Child An Achiever Corporation | Psychologist | 1225 E Hacienda Ave, #2, Las Vegas, NV 89119-5027 | 2016-09-16 |
| 1730505553 | Alexis Manning-espinda | Psychologist | 1550 Lorilyn Ave Unit 2, Las Vegas, NV 89119-7662 | 2014-03-17 |
| 1588087860 | Tonya Cooper | Psychologist | 2701 N Decatur Blvd Apt 1055, Las Vegas, NV 89108-2969 | 2014-01-22 |
| 1609298256 | Cynthia Bolden | Psychologist | 1957 Susan St, Las Vegas, NV 89106-2654 | 2014-01-16 |
| 1700217031 | Adrian Brown | Psychologist | 5824 W Oakey Blvd, Las Vegas, NV 89146-1243 | 2013-12-12 |
| 1639501935 | Debora Cole | Psychologist | 2504 Clayton St, North Las Vegas, NV 89032-3802 | 2013-08-08 |
| 1275871238 | Porscha Menyweather | Psychologist | 4316 E Tropicana Ave, Las Vegas, NV 89121-6704 | 2013-01-26 |
| 1689918054 | Tangy Denise Goffner | Psychologist | 1129 W Monroe Ave, Las Vegas, NV 89106-2914 | 2012-11-24 |
| 1710246921 | Life Gateway | Psychologist | 2128 Pink Coral Dr, North Las Vegas, NV 89031-0985 | 2012-05-08 |
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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.