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WANDA FREMONT M.D.
NPI 1366486656
Psychiatry & Neurology - Child & Adolescent Psychiatry in Syracuse, NY

Active since June 16, 2006PECOS Enrolled
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-3175 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wanda Fremont M.d. NPPES

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

WANDA FREMONT M.D. (NPI 1366486656) is an individual child & adolescent psychiatry provider in Syracuse, New York, licensed in New York (158994) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366486656
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameWANDA FREMONTCredential: M.D.
Location Address750 E ADAMS STSyracuse, NY 13210-2306
Mailing Address750 E Adams StSyracuse, NY 13210-2306 · (315) 464-3175
Phone(315) 464-3175
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 11, 2007
✔ NPI 1366486656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NY · 158994
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 158994 (NY)
750 E ADAMS ST, Syracuse, NY 13210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wanda Fremont M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Wanda Fremont reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry Faculty Practice, Inc.
0.2 mi
Psychiatry
713 HARRISON ST
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 171 clinicians in this Medicare group
NPI 1881084820 (315) 464-3119

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

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 Wanda Fremont's NPI number?

The NPI number for Wanda Fremont is 1366486656. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Wanda Fremont located?

Wanda Fremont practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-3175.

What is Wanda Fremont's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Wanda Fremont enrolled in Medicare?

Yes. Wanda Fremont is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wanda Fremont's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wanda Fremont reassigns Medicare benefits to Psychiatry Faculty Practice, Inc. (Syracuse, NY). The 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 Wanda Fremont's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wanda Fremont was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.