Jonathan Mack Freedman, PH. D.
NPI 1700834736ActiveIndividual· Psychologist· Bangor, ME
Psychologist (PH. D.) in Bangor, Maine, licensed in ME, with an NPI issued in May 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1700834736 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH. D. |
| Sole proprietor | Yes |
| NPI issued | May 4, 2006 |
| Last updated in NPPES | Aug 29, 2025 |
| Certified by provider | Aug 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PS490 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (ME) |
|---|
Education and affiliations
| Graduation year | 1986 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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