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

Q: 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.

Q: 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.

Q: 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.

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: August 02, 2026.

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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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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