PSYCHIATRY ERWIN SQUARE
NPI 1093265241
Psychologist in Durham, NC

Active since October 12, 2016
2200 W MAIN ST, STE 340, DURHAM, NC 27705(919) 416-3439 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2022, Oct 12, 2016 (2 updates tracked since 2016).

About Psychiatry Erwin Square NPPES

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

PSYCHIATRY ERWIN SQUARE (NPI 1093265241) is a healthcare organization registered as a psychologist in Durham, North Carolina and active in the NPI registry since October 2016. The organization lists Christopher T Frederick, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093265241
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePRIVATE DIAGNOSTIC CLINIC, PLLC
Location Address2200 W MAIN ST, STE 340Durham, NC 27705-4640
Mailing AddressPo Box 110566Durham, NC 27709-5566 · (919) 620-4855 · Fax (919) 620-4921
Organization SubpartNo
Authorized OfficialChristopher T FrederickCfo · (919) 620-4918
Enumeration DateOctober 12, 2016
Last NPPES UpdateMay 13, 20222 updates tracked since enumeration
NPPES CertifiedMay 13, 2022
NPI 1093265241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2200 W MAIN ST, Durham, NC 27705

Other Names 1

Doing Business AsPsychiatry Erwin Square

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Counselor (Professional)
2200 W MAIN ST, SUITE 400A
DURHAM, NC 27705
Psychologist (Clinical)
2200 W MAIN ST
DURHAM, NC 27705
Social Worker (Clinical)
2200 W MAIN ST, SUITE 700
DURHAM, NC 27705
Psychiatry & Neurology (Psychiatry)
2200 W MAIN ST
DURHAM, NC 27705
Psychologist (Counseling)
2200 W MAIN ST, SUITE 400A
DURHAM, NC 27705
Optometrist
2200 W MAIN ST, #A160
DURHAM, NC 27705
Psychologist (Counseling)
2200 W MAIN ST, SUITE 400A
DURHAM, NC 27705
Psychologist (Counseling)
2200 W MAIN ST, SUITE 400A
DURHAM, NC 27705

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 Private Diagnostic Clinic, PLLC's NPI number?

The NPI number for Private Diagnostic Clinic, PLLC is 1093265241. It was assigned to this organization in the NPPES registry on October 12, 2016. The provider is doing business as Psychiatry Erwin Square.

Where is Private Diagnostic Clinic, PLLC located?

Private Diagnostic Clinic, PLLC is located at 2200 W Main St Ste 340, Durham, NC 27705. The listed phone number is (919) 416-3439.

What is Private Diagnostic Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Private Diagnostic Clinic, PLLC was last updated on May 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.