SHIRA FREUDENBERGER PSYD LLC
NPI 1114807591
Psychologist - Clinical in Passaic, NJ
About Shira Freudenberger Psyd Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIRA FREUDENBERGER PSYD LLC (NPI 1114807591) is a healthcare organization registered as a clinical in Passaic, New Jersey and active in the NPI registry since September 2025. The organization lists Shira Freudenberger, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shira Freudenberger Psyd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Shira Freudenberger Psyd LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shira Freudenberger Psyd LLC's NPI number?
The NPI number for Shira Freudenberger Psyd LLC is 1114807591. It was assigned to this organization in the NPPES registry on September 5, 2025.
Where is Shira Freudenberger Psyd LLC located?
Shira Freudenberger Psyd LLC is located at 115 Elmwood Ave, Passaic, NJ 07055. The listed phone number is (973) 545-6433.
What is Shira Freudenberger Psyd LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Shira Freudenberger Psyd LLC enrolled in Medicare?
Yes. Shira Freudenberger Psyd LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shira Freudenberger Psyd LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Shira Freudenberger Psyd LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shira Freudenberger Psyd LLC was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shira Freudenberger Psyd Llc · NPI 1114807591
Clinical organization in Passaic, New Jersey. Organization record, active in the CMS NPPES registry since September 5, 2025.
## Identity
- **NPI:** 1114807591 (Entity type: Organization)
- **Enumerated:** September 5, 2025
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Shira Freudenberger, OWNER
## Practice location
- **Address:** 115 ELMWOOD AVE, Passaic, NJ 07055-2410
- **Phone:** (973) 545-6433
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114807591) · Data from the CMS NPPES public registry.