FREEMAN M CHAKARA PSY.D. NPI 1336190966

NPI Information

  • NPI: 1336190966
  • Provider Name: FREEMAN M CHAKARA, PSY.D.
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 219 W MAIN ST
    LEOLA, PA
    ZIP 17540
  • Phone: (717) 556-0149

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NPI Details

Freeman M Chakara, PSY.D. is a clinical neuropsychologist in Leola, PA with 26 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Freeman M Chakara, PSY.D. NPI is 1336190966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

219 W MAIN ST
LEOLA, PA
ZIP 17540-753
Phone: (717) 556-0149
Fax: (717) 556-0149

The NPI 1336190966 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 7/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalPS009409PENNSYLVANIANo
2103TS0200XPsychologistSchoolPS009409PENNSYLVANIANo
3103G00000XClinical NeuropsychologistPS009409PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102271001OTHERPENNSYLVANIACAPITAL BLUE CROSS
20018978580002MEDICAIDPENNSYLVANIA
3680015251OTHERPENNSYLVANIARAILROAD MEDICARE
41548470OTHERPENNSYLVANIAGATEWAY MEDICARE ASSURED
5P56460MEDICARE UPINPENNSYLVANIA
6056785MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
7001334567OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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