Theresa Raquel De Freitas Nicholson, MD
NPI 1790130987ActiveIndividual· Psychiatry & Neurology, Psychiatry· Dallas, TX
Psychiatry & Neurology, Psychiatry (MD) with Maimonides Faculty Practice Plan, practicing in Dallas, Texas. Part D covered 11 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1790130987 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 26, 2016 |
| Last updated in NPPES | Jul 11, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | BP10058172 | TX |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychiatry (NY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 11 · 11 30-day fills |
|---|---|
| Total drug cost | $160.57 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Psychiatry |
Medical group
- Maimonides Faculty Practice PlanBrooklyn, NY · 252 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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