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JEFFREY FREMONT PHD
NPI 1316528680
Community/Behavioral Health in Forty Fort, PA

Active since April 19, 2021
1264 WYOMING AVE, FORTY FORT, PA 18704(570) 288-8795(570) 288-3165 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Fremont Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY FREMONT PHD (NPI 1316528680) is a healthcare organization registered as a community/behavioral health in Forty Fort, Pennsylvania and active in the NPI registry since April 2021. The organization lists Jane Andrews, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1316528680
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameJEFFREY FREMONT PHD
Location Address1264 WYOMING AVEForty Fort, PA 18704-4138
Mailing Address1264 Wyoming AveForty Fort, PA 18704-4138 · (570) 288-8795 · Fax (570) 288-3165
Phone(570) 288-8795
Fax(570) 288-3165
Organization SubpartYesParent: -
Authorized OfficialJane AndrewsAdministrative Director · (570) 288-8795
Enumeration DateApril 19, 2021
NPPES CertifiedApril 19, 2021
✔ NPI 1316528680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1264 WYOMING AVE, Forty Fort, PA 18704
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Other Names 1

Other NameJeffrey Fremont Phd And Associates

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALAN PETROSKI PHD
Psychologist (Clinical)
1264 WYOMING AVE
FORTY FORT, PA 18704
Luzerne County (570) 288-8795
JEFFREY FREMONT PHD
Psychologist
1264 WYOMING AVE
FORTY FORT, PA 18704
Luzerne County (570) 288-8795

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 Jeffrey Fremont Phd's NPI number?

The NPI number for Jeffrey Fremont Phd is 1316528680. It was assigned to this organization in the NPPES registry on April 19, 2021. The provider is also known as Jeffrey Fremont PhD and Associates.

Where is Jeffrey Fremont Phd located?

Jeffrey Fremont Phd is located at 1264 Wyoming Ave, Forty Fort, PA 18704. The listed phone number is (570) 288-8795.

What is Jeffrey Fremont Phd's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Fremont Phd was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.