Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jonathan Mack Freedman, PHD

Individual provider Psychologist · NPI 1700834736

Dr. Jonathan Mack Freedman, PHD is a Clinical Psychologist in Bangor, Maine. Qualified in 1986, 40 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
40
Licensed in
ME
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

15 Cross St Ste 20
Bangor, ME 04401-6356
Phone: (207) 498-6395
Fax: (855) 654-2335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 128 Manning Mill Rd, Hampden, ME 04444-1021 — (207) 498-6395

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PS490 (ME)

Record details

NPI number1700834736
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 4, 2006
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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