ELLEN FREDERICKS PHD
NPI 1437260247
Psychologist in Trenton, MI

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
1545 KINGSWAY CT, SUITE 201A, TRENTON, MI 48183(734) 692-2696 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellen Fredericks Phd NPPES

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

ELLEN FREDERICKS PHD (NPI 1437260247) is an individual psychologist in Trenton, Michigan, licensed in Michigan (6301002524) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1437260247
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameELLEN FREDERICKSCredential: PHD
Location Address1545 KINGSWAY CT, SUITE 201ATrenton, MI 48183-1952
Mailing Address1545 Kingsway Ct, Suite 201aTrenton, MI 48183-1952 · (734) 692-2696
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 30, 2007
NPI 1437260247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301002524
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.
1545 KINGSWAY CT, Trenton, MI 48183

Other Identifiers 2

Medicare UPINS92217
Medicare PINM89870001

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ellen Fredericks Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880795194
PECOS Enrollment IDI20070730000772
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Dentist (General Practice)
1545 KINGSWAY CT, SUITE 101
TRENTON, MI 48183
Dentist
1545 KINGSWAY CT
TRENTON, MI 48183
Dentist (General Practice)
1545 KINGSWAY CT, SUITE 101
TRENTON, MI 48183
Dentist
1545 KINGSWAY CT
TRENTON, MI 48183
Dentist (General Practice)
1545 KINGSWAY CT, SUITE #101
TRENTON, MI 48183
Psychologist (Clinical)
1545 KINGSWAY CT, 201
TRENTON, MI 48183
Dentist (General Practice)
1545 KINGSWAY CT
TRENTON, MI 48183
Psychologist
1545 KINGSWAY CT, SUITE 201A
TRENTON, MI 48183

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 Ellen Fredericks's NPI number?

The NPI number for Ellen Fredericks is 1437260247. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Ellen Fredericks located?

Ellen Fredericks practices at 1545 Kingsway Ct Suite 201A, Trenton, MI 48183. The listed phone number is (734) 692-2696.

What is Ellen Fredericks's specialty?

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

Is Ellen Fredericks enrolled in Medicare?

Yes. Ellen Fredericks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ellen Fredericks accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Ellen Fredericks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellen Fredericks was last updated on October 30, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.