MEDICARE: DR. SHEILA STURGEON FREITAS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TF0000X	Family Psychologist	PSY-202431	ID
2	103TC0700X	Clinical Psychologist	PSY-202431	ID
3	103TC2200X	Clinical Child & Adolescent Psychologist	PSY-202431	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000010168149	OTHER	ID	BLUE SHIELD OF IDAHO
2	N6342	OTHER		BLUE CROSS OF IDAHO

General Provider Information

NPI Number	:	1134248750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHEILA STURGEON FREITAS PH.D.

Provider Business Mailing Address
First Line	:	3709 N LOCUST GROVE RD STE 150
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83646-5924
Country	:	US
Telephone Number	:	208-475-4690
Fax Number	:	208-899-4703

Provider Business Practice Location Address
First Line	:	3709 N LOCUST GROVE RD STE 150
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83646-5924
Country	:	US
Telephone Number	:	208-475-4690
Fax Number	:	208-899-4703

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	01/25/2010

Similar Medicare Providers

1083578249 — EAST MEETS WEST MEDICAL LLC
Practice Location Address:

3667 N LOCUST GROVE RD
MERIDIAN, ID
83646-5924

Practice Phone: 541-971-9333
Practice Fax: 541-926-4891

1922059146 — KERI ERLAND MD
Practice Location Address:

3667 N LOCUST GROVE RD
MERIDIAN, ID
83646-5924

Practice Phone: 208-939-9090
Practice Fax: 208-939-9911

1801919204 — MERIDIAN PEDIATRICS
Practice Location Address:

3653 N LOCUST GROVE RD
MERIDIAN, ID
83646-5924

Practice Phone: 208-338-5437
Practice Fax: 208-939-9811

1295983443 — MS. PHYLLIS ROSE NODLER LCPC
Practice Location Address:

3709 N LOCUST GROVE RD STE 150
MERIDIAN, ID
83646-5924

Practice Phone: 208-577-7634
Practice Fax: 208-378-8389

1477825453 — JEREMY RAMPTON MS
Practice Location Address:

3611 N LOCUST GROVE RD STE B
MERIDIAN, ID
83646-5924

Practice Phone: 208-918-9198
Practice Fax: 208-914-7641

1104177757 — ERLAND INTERNAL MEDICINE, PC
Practice Location Address:

3667 N LOCUST GROVE RD
MERIDIAN, ID
83646-5924

Practice Phone: 208-939-9911
Practice Fax: 208-939-9911

Directions to “ DR. SHEILA STURGEON FREITAS PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.