FRED JOSEPH DURHAM
NPI 1003631433
Psychologist - Cognitive & Behavioral in Taylor, MI

Active since November 20, 2024
26650 EUREKA RD STE A, TAYLOR, MI 48180(313) 561-5100 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fred Joseph Durham NPPES

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

FRED JOSEPH DURHAM (NPI 1003631433) is an individual cognitive & behavioral provider in Taylor, Michigan, licensed in Michigan (6851118945) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1003631433
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameFRED JOSEPH DURHAM
Location Address26650 EUREKA RD STE ATaylor, MI 48180-4835
Mailing Address50216 Paine StCanton, MI 48188-3332 · (765) 431-0547
Sole ProprietorNo
Enumeration DateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
NPI 1003631433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License Licensed in MI · 6851118945
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
26650 EUREKA RD STE A, Taylor, MI 48180

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
26650 EUREKA RD STE A
TAYLOR, MI 48180
Social Worker
26650 EUREKA RD STE A
TAYLOR, MI 48180
Social Worker (Clinical)
26650 EUREKA RD STE A
TAYLOR, MI 48180
Case Manager/Care Coordinator
26650 EUREKA RD STE A
TAYLOR, MI 48180
Social Worker (Clinical)
26650 EUREKA RD STE A
TAYLOR, MI 48180
Counselor (Mental Health)
26650 EUREKA RD STE A
TAYLOR, MI 48180
Case Manager/Care Coordinator
26650 EUREKA RD STE A
TAYLOR, MI 48180

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 Fred Durham's NPI number?

The NPI number for Fred Durham is 1003631433. It was assigned to this individual provider in the NPPES registry on November 20, 2024.

Where is Fred Durham located?

Fred Durham practices at 26650 Eureka Rd Ste A, Taylor, MI 48180. The listed phone number is (313) 561-5100.

What is Fred Durham's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Fred Durham was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.